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Various Fillable Forms

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Fillable PS 3971

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Request for or Notification of Absence Installation (For PM leave, show city, state, and ZIP code) N/S Day Pay Loc. # D/A Code From Date Hour Scheduled Date Submitted No. of Hours Requested UnScheduled Employee's Name (Last, First, M.I.) Employee ID PP Year Day Sat 01 Sun 02 Mon 03 Tue 04 Wed 05 Thur 06 Fri 07 Sat 08 Sun 09 Mon 10 Tue 11 Wed 12 Thur 13 Fri 14 Init. Hours Time of Call or Request Type of Absence Annual Holiday/AL Lv Exch Carrier 701 Rule LWOP (See reverse) Sick (See reverse) Late More


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PS3971

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