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North carolina leave request 2026
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- Click ‘Get Form’ to open the North Carolina Leave of Absence Request in the editor.
- Begin by entering your full name and personnel number in the designated fields. This information is crucial for identification purposes.
- Fill in your home address, including city, state, and zip code, along with your home and work contact phone numbers.
- Indicate your position title and select the reason for your leave request from the provided options, such as personal illness or military duty.
- Specify the expected length of leave and provide details about any family member’s illness if applicable.
- Enter the begin date and expected return to work date. Ensure these dates align with your leave requirements.
- Complete any additional sections regarding leave exhaustion requests and sign where indicated. Review all entries for accuracy before submission.
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See more dps medical form versions
We've got more versions of the dps medical form form. Select the right dps medical form version from the list and start editing it straight away!
| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2012 | 4.8 Satisfied (211 Votes) |
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Related links
Go to the NCIC Online Services Center to file a secure leave request. Please direct any questions about your secure leave request to secure.leave@ic.nc.gov.Read more
The closure plan was filed in response to a request by the N.C. Utilities Commission, which ordered Progress to provide its retirement schedule for unscrubbedRead more
The online Leave Request Form is used for requests for longer periods of leave for family and/or medical reasons.Read more