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Birth/Adoption of Child Leave will be: Continuous Intermittent (please explain) Expected End of Leave: (Month/Day/Year) Expected Return to Work: (Month/Day/Year) During my leave, I can be reached at: (Address) (Home Phone) (City, State, Zip) (Cell Phone) I understand that any remaining sick leave may/will be used during the leave and that accrual of these leaves will stop during any unpaid portion of my absence. I understand that any remaining vacation/PTO leave may/will be used.

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Keywords relevant to Cfra Form

  • Certification
  • Intermittent
  • unpaid
  • employers
  • Handbook
  • timely
  • continuous
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