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Staff Leave Form
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Staff Leave Form
Staff Leave Form
Employee Name
(Required)
Employee E-Mail Address
(Required)
Department Approval
(Required)
Select Recipient of Form for Approval
Pamela Curtis <pncurt01@louisville.edu>
Leslye A Erickson <laeric02@louisville.edu>
James M Mardis <mjmard01@louisville.edu>
Frank A Mianzo <famian01@louisville.edu>
Timothy P Moore <tpmoor01@louisville.edu>
Cathy Patus <clpatu01@louisville.edu>
Kathy J Pendleton <kjpend01@louisville.edu>
Dale R Ramsay <d0rams01@louisville.edu>
Shannon D Staten <sdstat01@louisville.edu>
Nadine Petty <n0pett01@louisville.edu>
Type of Leave Requested
(Required)
Annual/Vacation
Bereavement
Jury Duty
Military
Parental
Personal
Sick
Voting
Other
Comments
Date and Time Requesting Leave to Begin
(Required)
--
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
/
--
January
February
March
April
May
June
July
August
September
October
November
December
/
--
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
--
12
01
02
03
04
05
06
07
08
09
10
11
:
--
00
05
10
15
20
25
30
35
40
45
50
55
--
AM
PM
Date and Time Requesting Leave to End
(Required)
--
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
/
--
January
February
March
April
May
June
July
August
September
October
November
December
/
--
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
--
12
01
02
03
04
05
06
07
08
09
10
11
:
--
00
05
10
15
20
25
30
35
40
45
50
55
--
AM
PM
Is Family and Medical Leave Appropriate or Required
Yes
No
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