Request For Leave - Absence From Duty
Please fill out a form for each day or half day you will be absent.
Name *
Your answer
Today's Date
MM
/
DD
/
YYYY
Date Requested *
MM
/
DD
/
YYYY
Total Days Absent *
If requesting 1/2 day, is it for the morning or afternoon?
Type of Leave Requested *
Explanation
Policy requires one week of advance notice when requesting personal leave. If less than one week of notice is given, please explain:
Your answer
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