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Personal Leave of Absence Request Form - …

www.sunwestes.com

Personal Leave of Absence Request Form (NON-FMLA LEAVE) I,_____, hereby request a leave of absence effective _____

  Request, Leave, Absence, Absence request

Family and Medical Leave of Absence Request

www.tbr.edu

I request the following forms for my FMLA leave of absence: 1. Certification of Health Care Provider: This form is to be completed by either my health care provider (if this leave is for my own serious health condition) or by my family member’s health care provider (if this leave is for the serious health condition of a spouse, parent, or child).

  Request, Absence, Absence request

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