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Form 9611-2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your name in the designated field, ensuring you include your first name, last name, and middle initial.
- Next, input your Social Security Number in the appropriate section for identification purposes.
- Fill in your position details, including title, series, and grade to provide context for your leave request.
- Select the purpose of your leave by checking the relevant box that corresponds to your situation—be it for birth, adoption, care of a family member, or personal health issues.
- Indicate both the anticipated starting and ending dates of your leave to clarify the duration.
- Specify the total number of hours needed for each type of leave: sick leave, annual leave, and leave without pay.
- If applicable, indicate whether medical certification is included with your application by selecting 'Yes' or 'No.'
- Provide any additional information relevant to your application in the space provided.
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