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OK NGB ARMY

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Fillable OPM Form 71 - ok ngb army

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Request for Leave or Approved Absence 1. Name (Last, First, Middle) 3. Organization 4. (Check appropriate box(es) and enter date and time below) 2. Employee SSN Last Four XXX-XX- Type of Leave/Absence Date From To From Time To 5. Family and Medical Leave Accrued annual leave Restored annual leave Advance annual leave Accrued sick leave Advance sick leave (Enter code in Item 6 for all sick leave used.) If annual leave, sick leave, or leave without Total Hours pay will be used under the Family More


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opm 71
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opm form 71 doi FMLA SSN 2009 1996 entitlements CFR incapacitation SF disclosures falsification xx disapproved authorizes Compensatory entitlement Furnishing Accrued employing certification bereavement certify disapproval xxx reflecting specify furnish invoke optical


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