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Bereavement leave claim form for reimbursement from fringe reserve - cfao

Bereavement leave claim form for reimbursement from fringe reserve - cfao 2025

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The document is a Bereavement Leave Claim Form for employees of the Mill Cabinet Industry Employees Benefit Trust Fund in Northern California. It allows employees to request reimbursement for wages lost due to bereavement leave, as per the collective bargaining agreement. The form requires details about the employee, the deceased, and includes sections for signatures and verification of work hours and wages.

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