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LEAVE OF ABSENCE - SICK LEAVE / ANNUAL LEAVE / RETENTION LEAVE Section 1: EMPLOYEE DETAILS Person ID Family Name Given Name(s) Location Location Number Job Title Classification Telephone E-mail Section 2: LEAVE DETAILS Type of Leave: Please mark with Ticks where appropriate Annual Leave Paid Partner Leave Retention Leave Sick Leave (applicable to PSM employees only) Sick leave for family carers? Period of Leave: Payment is required at commencement of Leave? (Pay in advance) Con.

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  5. Include the particular date and place your electronic signature.
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