REQUEST FOR PAID LEAVE
It is the employee’s responsibility to confirm available leave balance prior to submission of this form to the supervisor.
I request (please check appropriate box). Note: personal business, compensatory leave and floating holiday apply
to CSEA and Confidential only.
(Pre-approval not required for PN)
(One day accrued annually on 7/1 if employee is non-
Supervising Manager’s Determination:
Note: Supervisors with employees under the CSEA Agreement shall respond to the request for paid leave within five
working days of the written request.
The leave requested above is approved.
The leave requested above is not approved.