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Leave of Absence Request Form

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Leave of Absence Request Form Powered By Docstoc
					                      Leave of Absence Request Form

___________________________                  __________________
Employee Name                                      Date




Type of Leave of Absence

[   ]   Medical
[   ]   Military
[   ]   Personal
[   ]   Family Medical Leave
[   ]   Others __________________________________________________________


_______________________                        __________________
Start Date of Leave                            Return to Work Date

All medical Leaves of Absence require certification from a doctor signed by the Labor
Force Authority to return to work.

__________________________________             __________________
Employee Signature                                    Date




__________________________________             __________________
Manager Signature                                     Date


Route to:
[ ] HR Manager
 [ ] Personnel File

				
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posted:6/21/2012
language:English
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Mleek rafat Mleek rafat Mr
About like all Hr&finance formes