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Get IE HSE HR 108 (d) 2019-2024

Your local processing unit. To be completed by the employee Surname: First Name: Grade: Personnel No: Location: PPS No: I hereby notify my Manager that I am applying to take Bereavement Leave in accordance with the provisions of HSE HR Circular 029/2019 Father Mother Brother Sister Relationship of deceased to employee: Father in law Mother in law Date of Death: No. of days leave applied for? Date From : Date to : Signature: Date : Child Spouse To be completed by the Line Manage.

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