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EM Staff Leave Request
Name
*
Email Address
*
Begin Date
*
Begin Date
*
January
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End Date
*
End Date
*
January
February
March
April
May
June
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September
October
November
December
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2040
2041
2042
2043
2044
2045
Number of Days Requested (if applicable)
Number of Hours Requested
*
Type of Leave Requested
*
Type of Leave Requested
*
Administrative Leave
Annual Leave
Comp Time
Sick Leave
Supervisor's Name
*
Supervisor's Email
*
Comments
*
= Required Field
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