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Leave & Absence Form

The document is an employee leave form that collects an employee's name, department, supervisor's name, reason for leave such as vacation or sick time, leave and return dates, whether the leave is paid, and space for approval. The form requests the same information across three identical sections.

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0% found this document useful (0 votes)
75 views2 pages

Leave & Absence Form

The document is an employee leave form that collects an employee's name, department, supervisor's name, reason for leave such as vacation or sick time, leave and return dates, whether the leave is paid, and space for approval. The form requests the same information across three identical sections.

Uploaded by

D L
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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EMPLOYEE LEAVE FORM

NAME: DEPARTMENT:

SUPERVISOR'S
NAME:

REASON FOR LEAVE:

VACATION SICK - SELF SICK - FAMILY FUNERAL

LEAVE OF DOCTOR'S OTHERS:


ABSENCE APPOINTMENT

LEAVE DATE: RETURN DATE: WITH PAY? YES NO

APPROVED BY:

EMPLOYEE LEAVE FORM


NAME: DEPARTMENT:

SUPERVISOR'S
NAME:

REASON FOR LEAVE:

VACATION SICK - SELF SICK - FAMILY FUNERAL

LEAVE OF DOCTOR'S OTHERS:


ABSENCE APPOINTMENT

LEAVE DATE: RETURN DATE: WITH PAY? YES NO

APPROVED BY:
ABSENCE FORM
NAME: DEPARTMENT:

SUPERVISOR'S
NAME:

REASON FOR ABSENCE:

SICK - SELF SICK - FAMILY FUNERAL OTHERS

LEAVE OF DOCTOR'S OTHERS:


ABSENCE APPOINTMENT

ABSENCE RETURN DATE: WITH PAY? YES NO


DATE:

APPROVED BY:

ABSENCE FORM
NAME: DEPARTMENT:

SUPERVISOR'S
NAME:

REASON FOR ABSENCE:

SICK - SELF SICK - FAMILY FUNERAL OTHERS

LEAVE OF DOCTOR'S OTHERS:


ABSENCE APPOINTMENT

ABSENCE RETURN DATE: WITH PAY? YES NO


DATE:

APPROVED BY:

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