LEAVE REQUEST FORM ________________________________________ ______________________________________ Employee Name Department/ Division TYPE OF LEAVE BEGINNING MO/DAY/YR HOUR ENDING MO/DAY/YR HOUR TOTAL HOURS ANNUAL LEAVE (Request in Advance) SICK LEAVE* COMPENSATORY LEAVE** (Request in Advance) LEAVE WITHOUT PAY (Request in Advance) OTHER______________ (See current leave policy) _____________________________________ ____________ Employee’s Signature Date APPROVED: ______________________________________ ...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
2400-001 Leave Request Form updated 8-11 editable PDF.pdf