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BEREAVEMENT LEAVE REQUEST FORM Educational Service District 113Employees Printed Name: Beginning date of leave: Ending date of leave: CHECK ONE: Leave is for immediate family bereavement (maximum
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ESD 113 is a regional support agency that provides services to school districts in Washington State.
School districts in Washington State are required to file ESD 113.
To fill out ESD 113, school districts need to report information about their educational programs and services.
The purpose of ESD 113 is to provide support and resources to school districts to improve educational outcomes for students.
School districts must report information on educational programs, services, and outcomes.
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