Home Telephone Number. I hereby request an unpaid leave of absence starting on Month Day Year through for the following reasons: Month Day Year NOTE: When applying for an unpaid personal medical leave or unpaid job related medical leave, send the original request form and the originals of doctors’ notes directly to the Business Office. (Doctors’ notes must be hand signed by the doctors. Rubber stamped signatures are not acceptable.) Give a copy of this request form to your building principal.
Appears in 3 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement
