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NOTICE OF ABSENCE

Name ____________________ Date Filed _______________________


Position ____________________ Company _______________________

Vacation Leave Maternity/Paternity Leave


Leave Without Pay Offset
Change Day Off

Number of days: ______________ Date: _________________to______________________

Reason:_____________________________________________________________________________
____________________________________________________________________________________

Noted by: Approved by:

___________________ ______________________ _________________________


Employee’s Signature Immediate Supervisor Department Manager

VACATION LEAVE VERIFICATION TO BE FILLED UP BY HRD

Leave credit __________ Days applied for _________


Used leave __________ Leave balance after application________
Balance __________

Prepared by: _______________________ Date Posted: ______________________


NOTICE OF ABSENCE

Name ____________________ Date Filed _______________________


Position ____________________ Company _______________________

Vacation Leave Maternity/Paternity Leave


Leave Without Pay Offset
Change Day Off

Number of days: ______________ Date: _________________to______________________


Reason:_____________________________________________________________________________
____________________________________________________________________________________

Noted by: Approved by:


___________________ ______________________ _________________________
Employee’s Signature Immediate Supervisor Department Manager

VACATION LEAVE VERIFICATION TO BE FILLED UP BY HRD

Leave credit __________ Days applied for _________


Used leave __________ Leave balance after application________
Balance __________

Prepared by: _______________________ Date Posted: ______________________

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