Beruflich Dokumente
Kultur Dokumente
SECTION 3 - CERTIFICATION
I certify that the leave/absence requested above is for the purpose(s) indicated. I understand that I mus
agency's procedures for requesting leave/approved absence (and provide additional documentation, inc
required) and that falsification of information on this form may be grounds for disciplinary action, includ
SECTION 4 - APPROVAL
Supervisor's Name:
…
AVE
Maternity Leave
Bereavement Leave
ID or SSN: Other Leave
nt:
hone: 0
1
…
Disapproved
Approved
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