Get the free Leave of Absence Request Form (Attachment A) 1

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Certification of Health Care Provider (Attachment B)Vermont General Assembly Office of Legislative Human Resources Vermont General Assembly may require an employee seeking a leave of absence due to

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How to fill out leave of absence request

01

Obtain the leave of absence request form from your HR department.

02

Fill in your personal details including your name, employee ID, department, and position.

03

Specify the reason for your leave of absence and the dates you will be absent.

04

If required, attach any supporting documentation such as a doctor's note or medical certificate.

05

Submit the completed form to your supervisor or HR department for approval.

06

Once approved, keep a copy of the form for your records.

Who needs leave of absence request?

01

Employees who need to take time off from work for personal or medical reasons.

02

Students who need to request a leave of absence from school for academic or personal reasons.

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What is leave of absence request?

A leave of absence request is a formal request made by an employee to take time off from work for personal or medical reasons.

Who is required to file leave of absence request?

All employees who need to take time off from work are required to file a leave of absence request.

How to fill out leave of absence request?

Employees can fill out a leave of absence request form provided by their employer, or submit a written request outlining the details of their absence.

What is the purpose of leave of absence request?

The purpose of a leave of absence request is to inform the employer of the employee's need to take time off and to ensure that the absence is accounted for.

What information must be reported on leave of absence request?

The leave of absence request should include the dates of absence, reason for the leave, and any supporting documentation such as a doctor's note.

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