Fillable Leave (Oklahoma City Community College)

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Leave (Oklahoma City Community College)

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File type: PDF

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Career Transitions
Oklahoma City Community College
Individual Leave Request
Case Number: ________________
Date: _______________________
Name: ________________________________________________________________________
Date of Absence: _______________________ Total Hours Absent:________________________
Reason for Absence: _____________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Documentation Attached? Yes No
Describe what documentation is attached.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
CT Participant Signature ___________________________________________
Review Date: __________________________ Approved Denied
Comments: ____________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
CT Staff Signature _______________________________________________
This form is also located on the Career Transitions website at http://www.occc.edu/career/
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Completed 24 July 2020

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