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Lumpkin College Executive Team Request for Absence Form

Lumpkin College Executive Team Request for Absence Form

Please complete this form each time an absence from duty occurs.

Name Name First Last
Email
Type of Leave

Type of Leave Sick Leave Accrued Leave Bereavement Leave Court required service
Date(s) of requested leave:

Do not report dates for more than any one month on a single form.
Number of hours absent
Comment (optional)