The School Board of Polk County, Florida EMPLOYEE: Fill out & sign online

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Click ‘Get Form’ to open it in the editor.
Begin by entering the date at the top of the form. This is essential for record-keeping.
Fill in your name and employee number in the designated fields to identify yourself clearly.
Specify your position held and the name of your school, area, or department to provide context for your leave request.
Select the type of leave you are applying for by checking the appropriate box. If applicable, indicate if this leave is concurrent with FMLA or other types.
For Sick Leave or Bereavement Leave, provide a reason for your absence in the specified section to comply with requirements.
If claiming Personal Leave Without Pay, detail the emergency necessitating your absence in the provided space.
Sign and date the form at the bottom to certify that all information is correct before submitting it for approval.

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