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Request for Leave Form.pdf
Handle: Document-3888
Owner: Smith, Salli (User-203, 02004:EVERETT)DS
Friday, August 27, 2004 02:40:15 PM PDT
Friday, August 17, 2012 09:22:09 AM PDT
Modified By: Smith, Salli (User-203, 02004:EVERETT)DS
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  • hrdata/arlene/leaveforms/lvrquest.doc Revised 06/05/02
Everett Public SchoolsLeave Request FormEmployee Name: Position School/Dept Original Request [ ] Revised Request [ ]I request authorization to be absent from work for the following period: through for a full time leave OR part time leave.
  • I have read and understand the criteria for the Shared Leave Program which will be used to determine my eligibility to participate in the Leave Share Program
[ ] Approved for ________ day(s) [ ] DeniedSubstitute Information (if applicable):I have arranged for a substitute for my absence.
  • I understand that this leave request is subject to the term...
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leave requests.doc
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Appears In: Forms
Preferred Version: Request for Leave Form.pdf