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Report Under P.G. 205-21 POLICE DEPARTMENT CITY OF NEW ...

1 Report Under 205-21 POLICE DEPARTMENT CITY OF NEW YORK From: Commanding Officer, Military and Extended Leave Desk To: Uniformed Members of the Service Subject: INSTRUCTIONS AND FORMAT TO FOLLOW WHEN REQUESTING A LEAVE OF ABSENCE WITHOUT PAY, Under THE FAMILY AND MEDICAL LEAVE ACT. 1. Prepare a Report using the attached sample and format as a guide. This Report will be addressed to your Commanding Officer and forwarded to this command after the endorses the request (after conferral with the Borough Commander).

2 employment with the NYCPD. You must reimburse the NYCPD for vacation days which you were paid, but were not earned. 4. While on this leave of absence without pay, you may be entitled to twelve (12) weeks of health insurance under the Family and Medical Leave Act (FMLA). If you

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