Fillable Leave Bank Withdrawal Leave Bank Request.PDF

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Leave Bank Withdrawal Leave Bank Request.PDF

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File type: PDF

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EMPLOYEE LEAVE BANK WITHDRAWAL REQUEST
NAME:
EMPLOYEE ID/SSN:
DEPARTMENT:
WORK PHONE:
Reason for Request (please attach supporting documentation):
Requesting Employee Signature:
Approval Section:
Date
Supervisor
Department Head
Dean
Vice President
Please send form to Human Resources after signatures are obtained
Committee Determination:
Approved: Yes No
Number of Hours Approved:
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Leave Bank Withdrawal Leave Bank Request.PDF

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Completed 7 March 2020

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