city of eagle · pdf filerequest for leave form rev. 1 (07/15/2009) city of eagle pass request...
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Request For Leave Form Rev. 1 (07/15/2009)
CITY OF EAGLE PASSREQUEST FOR LEAVE
Date of Request
, request leave from my duties with the
The purpose of this leave is
Sick Leave or Personal Leave
Vacation Leave
Comp Time
All employees shall submit their request for vacation a minimum of ten (10) calendar days prior to the anticipatedeffective date of such vacation. (City Policy Section 2-28 (d)(5))
I understand that all sick leave is to be concurrently charged towards FMLA leave. All other leave will be charged toFMLA, if eligible.
Employee's Signature Date
I recommend this request be
LeaveSupervisor Signature Date
Department Head or City Manager
Start date of Leave:
inclusive, a period of
I
End date of Leave:
hours.
Approved Disapproved
pay.with without
Approved Disapproved
, Employee #:
City of Eagle Pass from Annniversary year of:
Select appropriate section to charge your leave:
Reason for disapproval:
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