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Get USPS PS 3971 2008

Led Reporting Time If Needed, Employee Can Be Reached At: Type of Absence Documentation (For official use only) From: Date Hour Thru: Date Hour SCHEDULED Employee’s Name (Print last, first, MI.) UNSCHEDULED Request for or Notification of Absence Do not call Annual For COP Leave (CA1 on file) Approved in Advance FMLA Requested (Certification review – HRSSC) Holiday/AL Lv Exch Revised Schedule for (Date) Carrier 701 Route LWOP (See reverse) Sick (See reverse) Yes Day Init.

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