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Get the free Leave of Absence Request Form (PDF) - CSU, Chico

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REQUEST FOR FAMILY & MEDICAL LEAVE Section 1: PERSONAL INFORMATION (Employee completes Sections 1 and 2 and returns completed form to Supervisor/Manager) Last Name: First Name: Employee No. Home Address:Phone
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How to fill out leave of absence request

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How to fill out leave of absence request

01
Obtain a leave of absence form from your employer or the HR department.
02
Fill out your personal information such as your name, employee ID number, and department.
03
Specify the reason for your leave of absence and provide any necessary documentation or supporting evidence.
04
Indicate the start and end dates of your requested leave.
05
If applicable, indicate whether you will be taking paid or unpaid leave.
06
Sign and date the form.
07
Submit the completed form to your supervisor or the HR department for approval.
08
Keep a copy of the form for your records.

Who needs leave of absence request?

01
Employees who require a temporary leave from their work for personal or medical reasons, such as illness, maternity/paternity leave, bereavement, or personal leave, need to fill out a leave of absence request.
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A leave of absence request is a formal request made by an employee to take time off from work for a specific period.
All employees who need to take time off from work are required to file a leave of absence request.
Employees can fill out a leave of absence request form provided by their employer, or submit a written request detailing the dates and reason for the leave.
The purpose of a leave of absence request is to inform management of an employee's intention to take time off and to ensure that proper arrangements are made to cover the employee's duties.
Information such as the dates of the leave, reason for the leave, and any supporting documentation may need to be reported on a leave of absence request.
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