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United Medical Institute 5280 Auburn Blvd., Sacramento, CA 95841 pH: (916× 3345118, Fax: (916× 3346852 Web: HTTP://www.unitedmedicalinstitute.com/ LEAVE OF ABSENCE REQUEST FORM Student Full Name:
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How to fill out leave of absence request
How to fill out leave of absence request:
01
Start by obtaining a leave of absence request form from your employer or human resources department. This form may also be available online.
02
Fill in your personal information correctly and completely. Provide your full name, employee ID number, department, and contact information.
03
Specify the dates or duration of your requested leave. Make sure to include the start and end dates of your absence.
04
Clearly explain the reason for your leave of absence. Whether it's for medical purposes, personal reasons, or other extenuating circumstances, provide a detailed explanation.
05
If applicable, attach any supporting documentation required. This may include medical certificates, legal documentation, or any other evidence needed to justify your leave request.
06
Verify that you have followed your company's specific procedures and policies regarding leave requests. Ensure that you have filled out the form accurately and honestly.
07
Sign and date the form, indicating your agreement with the terms and conditions outlined by your employer for taking a leave of absence.
08
Submit the completed form to the appropriate person or department, as instructed by your employer.
Who needs leave of absence request?
01
Employees who require time off from work for various reasons, such as medical treatment, family emergencies, personal matters, or educational purposes may need to fill out a leave of absence request.
02
Individuals who are covered by the Family and Medical Leave Act (FMLA) may need to submit a formal request for a leave of absence to qualify for protected leave under this law.
03
Students who require time off from their academic studies, such as for sabbaticals, internships, or extended vacations, may also need to provide a leave of absence request to their educational institutions.
Remember, it's important to consult your company's policies and procedures regarding leave requests, as requirements may vary depending on the organization.
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