Death member: Fill out & sign online

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Click ‘Get Form’ to open the funeral leave request form in the editor.
Begin by entering your name in the 'Employee Name' field and specify the dates you are requesting leave in the 'Date(s) Requested' section.
In the first section, indicate the number of working days you are requesting for funeral leave (up to 3 days) and specify your relationship to the deceased. Ensure you provide details about where and when the funeral was held.
If applicable, fill out any additional days requested due to special circumstances that required travel or hardship. Clearly explain these circumstances in the provided space.
For any extra time off needed, mention that you may request annual leave by completing an Annual Leave Request card and submitting it to your supervisor.
Finally, sign and date the form at the bottom before submitting it for approval from your Physical Plant Director.

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Versions	Form popularity	Fillable & printable
2003	4.8 Satisfied (163 Votes)

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