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This document certifies an employee's request for leave to address issues related to domestic violence, sexual assault, or stalking, as defined in Oregon law.

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How to fill out certification of requested leave

How to fill out CERTIFICATION OF REQUESTED LEAVE FORM

01

Begin by downloading or obtaining the CERTIFICATION OF REQUESTED LEAVE FORM from your organization's HR department or website.

02

Fill in your personal information at the top of the form, including your name, employee ID, and department.

03

Specify the type of leave you are requesting (e.g., medical, vacation, personal) in the designated section.

04

Provide the start and end dates for your leave, ensuring you adhere to any company policies regarding notice periods.

05

Include detailed reasons for your leave, if required, and any relevant documentation to support your request.

06

Sign and date the form at the bottom to confirm that the information provided is accurate.

07

Submit the completed form to your immediate supervisor or HR department as per your organization's submission guidelines.

Who needs CERTIFICATION OF REQUESTED LEAVE FORM?

01

Employees who are planning to take a leave of absence from work, including medical, personal, or vacation leave.

02

HR personnel who need to process leave requests for record-keeping and compliance.

03

Supervisors who require documentation to manage staffing and workload during an employee's absence.

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What is CERTIFICATION OF REQUESTED LEAVE FORM?

The CERTIFICATION OF REQUESTED LEAVE FORM is a document used by employees to formally request leave from their duties, providing necessary details about the duration and reason for the leave.

Who is required to file CERTIFICATION OF REQUESTED LEAVE FORM?

All employees who wish to take a leave of absence that is subject to approval must file the CERTIFICATION OF REQUESTED LEAVE FORM as part of the leave request process.

How to fill out CERTIFICATION OF REQUESTED LEAVE FORM?

To fill out the CERTIFICATION OF REQUESTED LEAVE FORM, employees should complete sections detailing their name, dates of requested leave, type of leave (sick, personal, vacation, etc.), and any additional required information such as a medical certificate if applicable.

What is the purpose of CERTIFICATION OF REQUESTED LEAVE FORM?

The purpose of the CERTIFICATION OF REQUESTED LEAVE FORM is to provide a formal record of an employee's request for leave, ensuring proper communication and compliance with company policies regarding time off.

What information must be reported on CERTIFICATION OF REQUESTED LEAVE FORM?

The CERTIFICATION OF REQUESTED LEAVE FORM must report the employee’s name, department, specific dates of leave, type of leave, reason for leave, and any supporting documentation if required.

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