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Sary. A. General Information 1. Special leave requested for: Date Time to Date Time to Date Time to Total hours of special leave requested: 2. Who did you contact to report your inability to report to work? Date Time Name of person contacted 3. B. What instruction were you given? Flooding/Ice on Roads/Bridges and other access problems: 1. If you could not leave your home because of street/road/bridge problems, list all the roads/streets you could use to access your home. 2. If a.

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Keywords relevant to Leave Request Form

  • documentation
  • inability
  • flooding
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