Office Leave Request Form revised

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Office Leave Request Form revised Powered By Docstoc
					                                     HPREC Leave Request Form


Full Name:
                Last                                                      First

Date(s) of Absence:                                      Position:

Time of Leave:                           Number of Hours:                  Number of Days:

Type of Occurrence:
 (Check Drop Down Box)


Justification for
Leave:



                                               Signatures

Employee:
                         Signature                                                         Date

Director of Programs:
                         Signature                                                         Date

Executive Director:
                         Signature                                                         Date


             Office Use Only

        Approved               Denied




        High Plains Regional Education Cooperative … Dedicated to Educational Excellence
             101 North Second Street, Raton, New Mexico 87740 ~ 505.445.7090 ~ Fax: 505.445.7663

				
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posted:9/13/2012
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