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WCED Leave Request Form

       

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Leave Request Form

Please be sure to complete all fields before submitting for approval.

Name:         

Position:Certified Staff  Non-Certified Staff  Administration   

You must indicate the type of leave you are rquesting.

Type of Leave Requested: 
Vacation   Sick   Personal    Bereavement    Discretionary

Date of Request:         

Start Date:                       

End Date:                   

Start Time:              End Time:         

 

Calculate and enter the number of hours you will be gone (by half hour increments).

Total time:          

Please give a brief reason for your leave request:

After submitting, your request will be forwarded to your direct supervisor for approval.  

If you do not hear from the supervisor regarding the request for leave within 48 hours, you

should follow up by e-mail.

 

 

 

West Central Education District903 State Rd.Sauk Centre, MN  56378

320-352-2284Fax: 320-352-3404

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