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Get the free EXTENDED LEAVE REQUEST CHECKLIST - PGCPS Home

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MEDICAL CERTIFICATION FOR CARE OF A CURRENT SERVICE MEMBER/VETERAN WITH SERIOUS INJURY/ILLNESS Please return completed forms to Absence Management 14201 School Lane, Room 132 Upper Marlboro, MD 20772
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How to fill out extended leave request checklist

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How to fill out extended leave request checklist

01
Start by accessing the extended leave request checklist form.
02
Fill out your personal information accurately, including your full name, employee ID, and contact information.
03
Provide the reason for your extended leave request in detail. Make sure to include the start and end dates of the leave period.
04
Specify any supporting documents or evidence that may be required, such as medical certificates or legal documents.
05
Indicate whether you will be taking paid or unpaid leave during this period.
06
If applicable, mention any alternative arrangements you have made or propose during your absence.
07
Review the checklist thoroughly to ensure all necessary information is provided.
08
Submit the completed extended leave request checklist to the appropriate department or supervisor.
09
Wait for the approval or further instructions regarding your leave request.
10
Keep a copy of the filled-out checklist for your records.

Who needs extended leave request checklist?

01
Employees who require extended leave from work
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Extended leave request checklist is a form that employees use to request a leave of absence from work for an extended period of time.
All employees who are planning to take an extended leave of absence from work are required to file the extended leave request checklist.
To fill out the extended leave request checklist, employees must provide their personal information, reason for leave, proposed start and end dates of leave, and any supporting documentation.
The purpose of the extended leave request checklist is to ensure that the employee's request for leave is properly documented and approved by the appropriate parties.
The extended leave request checklist must include the employee's personal information, reason for leave, proposed start and end dates of leave, and any supporting documentation.
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