CA-7a, Time Analysis Form - DOL
Block 5: If claiming compensation for any dates detailed in block 4, state total number of hours claimed for leave without pay and total number of hours of leave. This should be at least 10 hours unless this is your final claim. Block 6: 1st Column: Show full date. 2nd Column: For each date noted in column 1, state "Y" if you are claiming ...
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