Fillable REQUEST FOR LEAVE Date Type of leave requested: (Northeastern Oklahoma A&M College)

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REQUEST FOR LEAVE Date Type of leave requested: (Northeastern Oklahoma A&M College)

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________________
REQUEST FOR LEAVE
Date
Name:_______________________ Campus ID:________________Dept:_____________
Type of leave requested: □ Annual Leave □ Sick Leave □Leave without pay
□ Military Leave □ Other__________________________
Period of leave: Beginning Date:__________________Ending Date:_______________
Total hours leave will cover:_______________
I request a leave of absence for the dates above:_______________________________
Signature of Employee
Approved:______________________________________Date:____________________
Supervisor
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REQUEST FOR LEAVE Date Type of leave requested: (Northeastern Oklahoma A&M College)

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Completed 3 February 2021

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