Human Resource Services Division (REV 032817-AMV) 4100 Normal Street-2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Employee ID# and full name in the designated fields. Ensure accuracy as this information is crucial for processing your request.
3. Select your employment type (Certificated or Classified) and provide your location number, school or department, and position assigned.
4. Fill in your permanent address, including city, state, zip code, home telephone number, and email address.
5. Indicate the type of leave you are requesting by checking the appropriate boxes. Be sure to provide any required documentation as specified for each leave type.
6. For periods of leave requested, enter the start and end dates clearly. If applicable, attach any necessary explanations or supporting documents.
7. Once completed, review all entries for accuracy before submitting through your principal/supervisor to ensure a smooth approval process.

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