REQUEST FOR LEAVE
To:
Appropriate Dean (for Certificated Employees)
Appropriate Manager (for Classified/Confidential Employees)
From:
(Name)
(Division/Area)
(Date)
Educational Conference Leave:
*(As defined in Article 12.9, United Faculty Contract; Article 9.11 Classified Contract; and Board policy 2020)
Personal Necessity Leave:
*(As defined in Article 12.3, United Faculty Contract; Article 9.3 Classified Contract; and Board Policy 2007)
Vacation:
*(As defined in Article 9.10.1, Classified Contract, and Board Policy (2032)
Other Leave:
Specify: Bereavement, Judicial/Official court appearances when subpoenaed, Religious Holiday, Military Leave:
Note:
Instructors needing substitutes need to check with the Division Chair. Staff are responsible for travel arrangements. Travel authorities
are to be approved by the Director of Business Services (campus); or the appropriate manager (district). Payment of expenses are not
automatic. An expense claim must be submitted immediately to the Business Services Office (campus); or the appropriate manager
Inclusive Dates
(If less than one day, indicate hours)
:
Purpose of request (include name, purpose and location of conference/meeting):
Indicate all day and evening classes requiring a substitute:
Date
Class
Time
Substitute
Recommended:
Division Chairperson, Manager or Director of Business Services
Date
Approved:
Appropriate Dean, Manager or Director of Business Services
Date
Distribution:
Payroll Office
Originator
Supervisor
;
to
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