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Get GU Leave Application Form 2016-2024

Amended August 2016 SECTION A: 1. NAME (First, Middle, Last) 2. DIVISION 4.LEAVE TYPE : A. ANNUAL (Refer to Section C if applicable) B. SICK (Refer to Section D if applicable) C. SICK To care for immediate family (Section E must be completed) D. COMPENSATORY TIME OFF E. ADMIN 5. LEAVE TYPE 3. DATE OF REQUEST F. DONATED ANNUAL G. DONATED SICK H. DONATED LEAVE BANK I. PREGNA.

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