Department of finance and administration office of personnel management employee leave request print form clear form part i - employee request begin leave: (hour) personnel number personnel area business area part ii - leave categories and codes...
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Lindsey hopkins technical college employee leave request form employee name employee number todays date date(s) requested type of request: * permission to see a physician during my normal working hours. (maximum request 2 hours, over 2 hours day)...
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Department of higher education finance and administration employee leave request print form clear form part i employee request begin leave: (hour) personnel number personnel area business area part ii leave categories and codes (date) end leave:...
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Employee leave without pay (lwop) request employees desiring an extended leave without pay (4 weeks or more) must complete this form and submit it for approval before the leave may be granted. please type or print neatly and submit the request to...
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Wasatch county school district 101 e 200 n ?heber city?ut?84032?435?654?0280 leave of absence request form please complete this form and have your supervisor sign it. submit the signed form, along with supporting documentation, to hr director at...
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The adjutant generals department state employees electronic leave request form payroll end date: employee name: employee must obtain approval prior to taking leave type use code presched? yes/ no reason* * reason required except for prescheduled...
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State of connecticut human resources employee request for leave of absence under the federal family and medical leave act (fmla) and/or state c. g. s. 5-248a (family and medical leave from employment) (to be completed by employee) form #: fmla-hr1...
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North carolina state government workers' compensation program employee statement and leave options supervisors should provide all injured employees with this form to complete the information concerning the accident/incident and use of leave...
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Submit this request form at least 30 days before the leave is to commence, when practicable. when submission to care for a family member with a serious health condition. (medical first date the eligible employee takes fmla leave to care for the...
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Employee request for leave this form must be completed and returned to the office responsible for research foundation personnel before any request for leave will be approved. questions about leave or this form should be directed to the office...
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Sam houston state university human resourcesleave request/approval formemployees must complete this form in advance for leaves and other absence from duty. this form should be complete with the type ofleave, dates of absence, number of hours...
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Family and medical leave authorization form 4 to 5 days off employees who have worked for at least 1,250 hours during the 12month period immediately prior to this request for fmla leave are eligible for fmla leave. name tnumber department hire...
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Print form county of alameda family and medical leaves employee request for leave employees name: employees id #: classification: department: contact telephone number: immediate supervisor: this is a request for leave as provided under the family...
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Print form california state university, sacramento employee disability programs family care and medical leave employee application 916-278-3522 278-3411 (fax) sacramento hall, room 162, 6 j street, sacramento, ca 95819-6032 instructions: 1. this...
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Family or medical leave request form instructions for the employee: complete your part of the form and submit it to hr. you will be notified as to whether the leave is approved or not. employee information employee name employee number job title...
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