Fillable Building/Department Authorization for Annual/Personal/Sick/Professional Leave Requests (Fairbanks North Star Borough School District)

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Building/Department Authorization for Annual/Personal/Sick/Professional Leave Requests (Fairbanks North Star Borough School District)

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The Building/Department Authorization for Annual/Personal/Sick/Professional Leave Requests (Fairbanks North Star Borough School District) form is 1 page long and contains:

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Building/Department Authorization for
Annual/Personal/Sick/Professional Leave Requests
Use Change of Status form for leave requests that require HR or Asst. Superintendent approval
Employee Name:
Employee Status
Leave Requested Date(s) Time(s) Total Hours
Annual
Personal
Certified
Classified
Exempt
Professional
attach rationale
Sick
Sick/Bereavement*
+
Sick/Emergency*
+
*Documentation required; see negotiated agreements for limitations on number of days allowed
+
Notify HR if leave meets FMLA requirements
Overtime
Date(s):
# Hrs:
Purpose:
Employee Signature:
Date:
Supervisor Approval:
Date:
Building/Department-Level Form Rev. 9/23/02
**Employee’s copy
Building/Department Authorization for
Annual/Personal/Sick/Professional Leave Requests
Use Change of Status form for leave requests that require HR or Asst. Superintendent approval
Employee Name:
Employee Status
Leave Requested Date(s) Time(s) Total Hours
Annual
Personal
Certified
Classified
Exempt
Professional
attach rationale
Sick
Sick/Bereavement*
+
Sick/Emergency*
+
*Documentation required; see negotiated agreements for limitations on number of days allowed
+
Notify HR if leave meets FMLA requirements
Overtime
Date(s):
# Hrs:
Purpose:
Employee Signature:
Date:
Supervisor Approval:
Date:
Building/Department-Level Form Rev. 9/23/02
Select
Select
Select
Select
Select
Select
Non-Exempt
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BuildingDepartment Authorization for AnnualPersonalSickProfessional Leave Requests (Fairbanks North Star Borough School District)

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Completed 4 January 2022

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