Fillable Volunteer State Community College Leave Request Authorization Form (Volunteer State Community College)

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Volunteer State Community College Leave Request Authorization Form (Volunteer State Community College)

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The Volunteer State Community College Leave Request Authorization Form (Volunteer State Community College) form is 1 page long and contains:

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  • 0 check-boxes
  • 225 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Volunteer State Community College

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Volunteer State Community College
Leave Request Authorization Form
Employee Name
Banner ID
Reporting Period
through
Department
Month
Annual
Leave
Hours
Taken
Sick
Leave
Hours
Taken
Comp
Hours
Taken
(Non
Exempt
Only)
*
Leave
Without
Pay
Hours
Taken
Check if
hours
taken are
for FMLA
purposes
*
Bereave
ment
Hours
Taken
*
Jury
Duty
Hours
Taken
*
Other
Paid or
Military
Leave
* Leave w/o Pay requires justification.
*Bereavement Leave requires Family
Relationship.
*Jury Duty requires copy of subpoena.
*Other Paid Leave requires explanation.
*Military Leave requires copy of orders.
Total Hours
Certification & Authorization
I certify the above hours were taken in accordance with TBR & VSCC policies and guidelines. I understand any leave
taken exceeding that accumulated will be leave without pay.
Employee Signature ______________________________________________________________ Date _____________
Approving Supervisor Signature_____________________________________________________ Date ______________
This form is for optional use by departments. It is not needed if your department tracks leave by an
alternate method. Leave used should be entered on electronic leave reports for Payroll purposes.
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Volunteer State Community College Leave Request Authorization Form (Volunteer State Community College)

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Completed 5 October 2020

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