Leave of Absence Unpaid: Department Head Approval/Denial of Employee Request (Appointed Personnel - Faculty, Administrative, and Professional)

The text you enter below cannot be saved on this page. You may transfer the text to a MS Word document by clicking on the "Create Memo" button below, where you may save it to your computer.

Your internet browser may return you to the previous page if you press the backspace key on your keyboard when your cursor is not in a text box. You may be able to return to this page by using your browser's forward button.


Date To Be Issued
Employee's Name (Do not address to Human Resources or Employee File)
Employee's Title:
Requesting Dept Head:
Briefly state reason for Leave of Absence request.
Leave of Absence start date:
(date after last day of work)
Leave of Absence end date:
(leave cannot exceed one year)
The text you enter above cannot be saved on this page. You may transfer the text to a MS Word document by clicking on the "Create Memo" button below, where you may save it to your computer.

Your internet browser may return you to the previous page if you press the backspace key on your keyboard when your cursor is not in a text box. You may be able to return to this page by using your browser's forward button.
 


August 3, 2005