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Collects employee name, PIDM, department, leave period (first and last day), and total hours claimed. Includes checkboxes for selecting the leave type and requires employee and supervisor signatures with dates. Notes that all leave forms must reach the Payroll Department by the 20th of each month to ensure correct monthly charging; submissions after that date are charged the following month. 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If received after this date, leave will be charged the following month.*  \nUpdated 09/28/2022  \n*********************************************************************************************  \nLEAVE REQUEST  \nName:   PIDM\\#   Department:    \nMN:    \nSick:   Vacation   Jury/BRV  Floating Holiday  **Payroll Use ONLY**  \nPeriod of Leave: From:   To:   \n(First Day of Leave) (Last Day of Leave)  \nTotal Hours Claimed:   Please Check One:  \n[ ] Vacation Leave [ ] Leave without pay  \n[ ] Sick Leave (Dr’s note may be required)  \n[ ] Jury Duty  \n[ ] Bereavement  \n[ ] Floating Holiday  \nEmployee’s Signature:   Date:   Supervisor’s Signature:   Date:    \n* ALL leave forms must reach the Payroll Department by the 20th of each month to insure you are charged appropriately each month. If received after this date, leave will be charged the following month.*  \nUpdated 09/28/2022","cbCaihnfeOo9hdmh","https://ap.wps.com/l/cbCaihnfeOo9hdmh","pdf",640559,"English","# Leave Request\n## Employee and Leave Details\n## Leave Type Selection\n## Signatures and Submission Deadline","[{\"question\":\"What information must be provided on the leave request form?\",\"answer\":\"The form collects employee name, PIDM, department, leave period (from/to with first and last day), and total hours claimed.\"},{\"question\":\"Which leave types can be selected on this form?\",\"answer\":\"Options include Vacation Leave, Leave without pay, Sick Leave, Jury Duty, Bereavement, and Floating Holiday.\"},{\"question\":\"When must the form be submitted to the Payroll Department?\",\"answer\":\"All leave forms must reach the Payroll Department by the 20th of each month; forms received after this date are charged the following month.\"}]","LEAVE REQUEST - Updated 09/28/2022 | PDF",1789843531]