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Page 1 of 4 LOS ANGELES UNIFIED SCHOOL DISTRICT Human Resources Certificated Request for Leave of Absence PRINT NAME: Last First Per's ID/EMP No. Street Address while on Leave City State Grade / Subject
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How to fill out certificated request for leave

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How to fill out a certificate request for leave:

01
Start by writing your contact information on the top left corner of the form. Include your full name, address, phone number, and email address.
02
In the top right corner, indicate the date you are filling out the form.
03
Below your contact information, write the recipient's information. This should include the name of the person or department responsible for approving your leave request.
04
Next, provide the details of your leave. Indicate the dates you plan to be absent and the reason for your leave. Be specific and concise in explaining the purpose of your absence.
05
If necessary, attach any supporting documentation along with the request form. This could include medical certificates, travel itineraries, or any other relevant paperwork.
06
In the bottom section of the form, sign and date the request. By signing, you acknowledge that the information provided is accurate and you understand the terms and conditions associated with taking leave.

Who needs a certificate request for leave?

01
Employees: If you are an employee, you may need to fill out a certificate request for leave when you plan to be absent from work for a specific period. This is important to keep your employer informed about your absence and to comply with company policies or regulations.
02
Students: In educational institutions, students may need to fill out certificate requests for leave when they intend to be absent from classes or exams due to personal or medical reasons. This helps their institutions to keep track of attendance and make necessary arrangements.
03
Service members: Military personnel or individuals serving in the armed forces may need to fill out certificate requests for leave when they require time off from their duties. This is crucial for ensuring proper documentation and approval within the military hierarchy.
Overall, anyone who requires a formal approval for their absence, whether it is for personal, medical, or other specific reasons, may need to fill out a certificate request for leave. The form serves as a formal record of the request and helps to ensure smooth communication between the individual and the relevant authority responsible for approving the leave.
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