Human resources 282 champions way po box 3062410 tallahassee, fl 323062410 phone: 8506447936 fax: 8506459510 florida state university sick leave pool membership application send to campus mail code 2410 or fax to (850) 6459510 i am requesting...
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Certification of health care provider for employee s serious health condition (family and medical leave act) u.s. department of labor wage and hour division omb control number: 1235-3 expires: 2/28/2015 section i: for completion by the employer...
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Los angeles unified school district human resources application procedures and checklist for reduced workload leave firsttime applicants submit the following complete documents with required signatures by april 15 for the following school year:...
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Leave of absence request form - employee military employee section: complete & submit to department supervisor: fax to 480.993.7 employee name: date: employee 10-digit id number: requested dates: from: (first day of leave) to: (proposed return to...
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Request for an unpaid long-term leave of absence to be completed by the employee date received by disability and leaves: completed forms are required to be submitted to the leaves and disability section by march 31 for a leave for the upcoming...
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It is recommended that you fill out this form using the latest version of adobe acrobat or reader. leave without pay application this form can be completed electronically before emailing. to be eligible for leave without pay, you must first...
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Print form lady 's island - st. helena fire district request for leave email to leaveslip lishfd.org date: name: leave date(s) requested: type of leave: comp. time date of buddy: buddy buddy with: regular date of payback: school hours of buddy:...
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Tab to move to next line or field clear form mosaic employee request form please submit this form to your supervisor at least two weeks before the effective date of the request. for family and medical leave request, please use the family and...
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Request for leave or approved absence 2. employee or social security number (enter only the last 4 digits of the social security number (ssn)) 1. name (last, first, middle) 3. organization 4. type of leave/absence (check appropriate box(es) below)...
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Request for leave or approved absence2. employee or social security number (enter only thelast 4 digits of the social security number (ssn))1. name (last, first, middle)3. organization4. type of leave/absence(check appropriate box(es)...
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Leave request approval form -- (form f101) employee name: date(s) requested: substitute needed: name of substitute preferred: substitute assigned: yes no reason for leave (please check appropriate box): sick leave personal leave (5 days per year...
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Developmental counseling form for use of this form, see fm 6-22; the proponent agency is tradoc. data required by the privacy act of 1974 authority: principal purpose: routine uses: disclosure: name (last, first, mi) organization 5 usc 301,...
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Leave request form employee principal bookkeeper personal business leave association leave jury duty leave district board leave hr date name assignment building date(s) of leave request reason for leave (explain) print form * * * * * * * * * * * *...
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Reset form print form effective 09/2010 page 1 of 2 questions about this form? contact hrs benefits e-mail: benefits uchicago.edu victims economic security and safety act (vessa) leave of absence request form please print employee name: home...
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? american postal workers union, aflcio grievant person or union step 2 appeal to arbitration grievance form work location city, state, zip code discipline (nature of) or contract (issue) craft usps grievance # apwu grievance # date of step 2 to:...
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