This form must be used to request approval for any family or medical leave of more than one week or any other absences greater than one week. For questions please contact Erren Gibbs at or refer to Policy Code: 7510 Employee Leaves and Absences (
Sign in to Google to save your progress. Learn more
Email *
I certify that I have already informed my direct supervisor of my intent *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Dare County Schools. Report Abuse