23-24 REQUEST FOR UNPAID LEAVE 
This form is to be completed to request the use of unpaid leave.  Unpaid leave requests are granted at the discretion of administrative review.  Please review the information regarding the provision of unpaid leaves in your collective bargaining agreement for your employee group. 

Email *
I have read and understand the provisions for unpaid leave as described in the collective bargaining agreement for my associated employee group.

 *
Employee last name: *
Employee first name: *
Employee ID (optional)
Position/job title: *
Work location (home base): *
Supervisor name: *
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