Fillable CITY OF HAMPTON STANDARD LEAVE APPLICATION (City of Hampton)

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CITY OF HAMPTON STANDARD LEAVE APPLICATION (City of Hampton)

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The CITY OF HAMPTON STANDARD LEAVE APPLICATION (City of Hampton) form is 1 page long and contains:

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  • 12 check-boxes
  • 29 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Hampton

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Standard Leave Application-7-2012.doc
CITY OF HAMPTON
STANDARD LEAVE APPLICATION
Employee Name:
Employee Number:
Date of Request:
Department:
Division:
____ Annual
____ Total Hours
______________ Date/Time
____ Sick
____ Total Hours
____ Total Hours Advanced
______________Date/Time
____ LWOP (Leave Without Pay)
____ Total Hours
_______________ Date/Time
____ Family Medical Leave (FML)
____ Total Sick Hours
____ Total Annual Hours
____ Total LWOP Hours
_______________ Date/Time
_______________ Date/Time
_______________ Date/Time
____ Compensatory Time
____ Total Hours
_______________ Date/Time
____ Leave Donation
____ Total Sick Hours
____ Total Annual Hours
______________________________ Recipient
______________________________Recipient’s Dept
___ Birthday
___ Administrative
____ Total Hours
_______________ Date/Time
___ Other _____________________
Remarks:
___________________________________
Employee Signature
______________
Date
____ Approved
____ Disapproved (Include Reason Below)
___________________________________
Manager/Supervisor Signature
______________
Date
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CITY OF HAMPTON STANDARD LEAVE APPLICATION (City of Hampton)

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Completed 3 August 2020

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