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NAVPERSCOM 12630/1. CIVILIAN REQUEST FOR EXTENDED LEAVE - public navy 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by filling out Part I, which requires your personal information such as Employee Name, PD Title, Series/Grade, and PERS Code. Ensure accuracy as this information is crucial for processing your request.
- Next, indicate the type of leave requested by checking the appropriate boxes and entering the number of hours for each type. Remember to attach any necessary medical documentation if applicable.
- In the Family and Medical Leave section, provide the period covered by your leave request. Specify dates and ensure that you check all relevant boxes regarding family or personal health conditions.
- Complete the certification statement at the bottom of Part I by signing and dating it. This confirms that all provided information is accurate and that you understand your responsibilities.
- For Parts II and III, ensure that your supervisors complete their sections by providing their signatures and dates. This step is essential for approval.
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