Staff Leave Form

Used for various types of leave submittals.

Date
MM slash DD slash YYYY

Request date
Name*
First Last
Email*

Include your email address
Date From:*
MM slash DD slash YYYY

Beginning date of leave
Date To:*
MM slash DD slash YYYY

Ending date of leave.
Type of Leave*
- Annual Leave
- Sick Leave
- Comp Time
- Without pay
- Continuing Ed
- Other
Indicate type of leave.
Total hours taken*
Input total amount of work hours taken.
Notes/Remarks:

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