Cobb county dui court melodie h. clayton dui court judge emily b. keener coordinator participant leave request form participant name: phase: days sober: sponsor: yes no 12-step meetings attended this week: dui court fees owed: employer: missed...
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Office of title program title office personnel leave request form individual requesting leave: date title(s) or position(s): i respectfully request permission to be absent from the university: from: date hour number of days: to: date hour and/or...
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Educational leave request form instructions the "educational leave request form" should be used by full-time professional oces staff to apply for: official educational leave forms are available at: http://intranet.okstate.edu/staff...
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Caddo parish school board-certified personnel department - 3/20/09 p.o. box 32 shreveport, louisiana 71130-2 request for maternity leave this request with the certificate of disability form should be mailed to the certified personnel department 60...
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Military department extended leave request form (for absences of 30 days or more) employee information name (last, first, mi) personnel number division job classification home address (street, city, zip) work phone number: home phone number work...
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Lsuhsc department of genetics request for leave graduate students section i. to be completed by the student and submitted to supervisor student s name (print): dates of requested absence: from to leave designation (check short-term absence or...
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Banbury academy request for leave of absence to: pastoral manager i hereby request leave of absence for: pupil s name: .. . tutor group . . from: . to: . .. . (inclusive dates) please give reason for holiday during term time: .
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Dodds (tp-1701) request for leave or approved absence 1. name (last, first, middle initial) social security number -00-1234 mouse,mickey m 2. organization/school kaiserslautern district 3. date/s type of leave/absence (check appropriate box below)...
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Compassionate leave request form employee name department today s date leave dates (mm/dd/y) (mm/dd/y) (mm/dd/y) name of family member relationship description of illness will you be applying for ei? supervisor s signature vice president s...
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Leave replacement assignment request date i, , the regular rural carrier of rural route # , hereby request that a leave replacement be assigned to my route, in accordance with article 30.2.a.2 of the agreement between the united states postal...
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Wvu division of human resources - benefits administration po box 6640 one waterfront place morgantown, wv 26506 (304) 293-5700 x 4 leave mail.wvu.edu annual leave extension request form i. employee information employee name: (last, first , mi)...
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Print download clear form guam fire department offisland leave request date memorandum to: fire chief via: channels from: rank & name subject: request for offisland annual leave sir, this is to respectfully request your consideration and approval...
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Personal leave request approval form ynhh.pdf free download here personal leave request & approval form ynhh http://.ynhh.org/ui/documents/fmla personal leave request and approval form %285.11%29.pdf to: heather russell milici resident physicians...
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Request for approval of administrative leave for civilian fitness activities employee: i, , request approval of administrative leave not to exceed 1 hour per day or not to exceed 3 days per week, for the sole purpose of participating in civilian...
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Print form time & leave balance request name date: department title ext i am requesting a summary of all my current leave balances. all of my timesheets have been submitted to the hr office. the turnaround time is 2 business days. for office use...
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