Fillable opm 71 form

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Request for Leave or Approved Absence 1. Name (Last, First, Middle) 3. Organization 4. (Check appropriate box(es) and enter date and time below) 2. Employee SSN Last Four XXX-XX- Type of Leave/Absence Date From To From Time To 5. Family and Medical Leave Accrued annual leave Restored annual leave Advance annual leave Accrued sick leave Advance sick leave (Enter code in Item 6 for all sick leave used.) If...
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