
Get the free Leave of Absence Request Form 2015-2016
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Leave of Absence
Request Form: 20152016
Host Northwell School of Medicine
Office of Academic Affairs
500 Host University
Hempstead, NY 115495000
email: somregistrar@hofstra.edu
phone: 516.463.7576
fax:
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How to fill out leave of absence request

How to fill out a leave of absence request:
01
Begin by obtaining the official leave of absence request form from your employer or human resources department. This form may also be available online through your company's intranet.
02
Fill in your personal information accurately and completely. Provide your full name, employee identification number, department, position, and contact details. Make sure to include the dates you expect to be absent from work.
03
State the reason for your leave of absence. Be specific and provide as much detail as possible to help your employer understand the circumstances. This may include medical reasons, personal or family emergencies, educational pursuits, or other valid reasons for taking time off work.
04
If applicable, provide any supporting documentation or evidence to support your request. This could include medical certificates, court documents, academic enrollment letters, etc. Attach these documents to the request form as necessary.
05
Indicate the type of leave you are requesting. This can include paid or unpaid leave, sick leave, maternity/paternity leave, vacation leave, or any other relevant leave category offered by your employer. Refer to your company's policies or collective agreement for information on available leave options.
06
Include any additional information that may be required by your employer, such as whether you plan to use any accrued vacation or sick days during your absence.
07
Sign and date the request form at the bottom. Make sure to read and understand any declarations or statements included on the form before signing.
08
Submit the completed form to your supervisor, manager, or the designated individual in your organization's HR department. Follow any specific submission procedures outlined by your employer, whether it be through email, physical submission, or an online system.
Who needs a leave of absence request:
01
Employees who require time off from work for personal or medical reasons.
02
Individuals who need to take care of family members who are ill or in need of assistance.
03
Employees pursuing further education or professional development and need to take time off for academic pursuits.
04
Individuals going through a major life event such as childbirth, adoption, or the loss of a loved one.
05
Employees who require a sabbatical or extended time away from work for personal rejuvenation or to pursue personal projects.
06
Anyone who needs to take an extended vacation or travel for personal reasons.
Note: The specific circumstances and eligibility for a leave of absence may vary depending on your employer's policies and applicable laws. It is essential to review your company's policies, consult with your HR department, and follow any established procedures when requesting a leave of absence.
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What is leave of absence request?
A leave of absence request is a formal application submitted by an employee to request time off from work for a specific period of time.
Who is required to file leave of absence request?
All employees who wish to take time off from work for personal or medical reasons are required to file a leave of absence request.
How to fill out leave of absence request?
Employees can fill out a leave of absence request form provided by their employer, specifying the dates, reason for leave, and any necessary documentation.
What is the purpose of leave of absence request?
The purpose of a leave of absence request is to inform the employer of an employee's intention to take time off from work and to ensure proper documentation and coverage during the absence.
What information must be reported on leave of absence request?
A leave of absence request typically includes the employee's name, dates of absence, reason for leave, and any supporting documentation such as medical certificates.
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