Fill - Free fillable Bereavement Leave Request Form 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the EMPLOYEE INFORMATION section. Enter your Lamar ID, full name, job title, contact number, email address, supervisor's name, and department name.
3. In the BEREAVEMENT REQUEST INFORMATION section, provide the name of the deceased and your relationship to them. Include the date of the funeral and its location (city and state).
4. Specify the number of days you are requesting off by checking the appropriate box (1 Day, 2 Days, or 3 Days) and attach any supporting documentation such as a funeral notice or obituary.
5. Sign and date the form to acknowledge that all information is accurate. If you have additional comments, include them in the designated area.
6. Ensure your supervisor reviews and signs the form for acknowledgment before submitting it to Human Resources.

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