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LOS ANGELES COMMUNITY COLLEGES HUMAN RESOURCES 770 WILSHIRE BOULEVARD LOS ANGELES, CA 90017 ACADEMIC/CLASSIFIED EMPLOYEE ABSENCE CERTIFICATION / REQUEST Use separate form for each absence period and
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How to fill out absence certification request

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How to fill out absence certification request

01
Step 1: Obtain the absence certification request form from your employer or educational institution.
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Step 2: Fill out your personal information, including your name, contact details, and identification number.
03
Step 3: Indicate the dates and duration of your absence. Provide an explanation for the reason behind your absence.
04
Step 4: Attach any supporting documents, such as a medical certificate or travel itinerary, if required.
05
Step 5: Review the completed form to ensure all the information is accurate and complete.
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Step 6: Submit the absence certification request form to the designated authority or department.
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Step 7: Follow up with the authority or department regarding the status of your request if necessary.
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Step 8: Once approved, keep a copy of the absence certification for your records.

Who needs absence certification request?

01
Employees who need to take a leave of absence from work and require documentation for the absence.
02
Students who need to request an absence from school or university and need official certification.
03
Individuals applying for government benefits or assistance that requires proof of absence.
04
Travelers who need to provide proof of absence from their home country for visa or immigration purposes.
05
Patients who need to provide documentation for medical leave or hospitalization.
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An absence certification request is a form or document that an individual submits to provide proof or documentation of their absence from work or school.
Employees or students who have been absent from work or school and need to provide proof of their absence.
To fill out an absence certification request, individuals typically need to provide their personal information, the date(s) of their absence, and the reason for their absence.
The purpose of an absence certification request is to verify and document the reasons for an individual's absence from work or school.
Information such as the individual's name, date(s) of absence, reason for absence, and possibly any supporting documentation (such as a doctor's note).
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