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Parental Leave Request Form
PARENTAL LEAVE ADMINISTRATIVE MEMO
(
PLEASE REVIEW
)
PLEASE SUBMIT FORM
NO MORE THAN 6-8 WEEKS PRIOR
TO LEAVE FOR A PREGNANCY ONLY.
LEAVES ARE PROCESSED IN THE ORDER IN WHICH THEY ARE RECEIVED & START DATE OF LEAVE.
**LEAVE PACKETS WILL BE MAILED OUT IN THE ORDER IN WHICH THIS FORM IS SUBMITTED & START DATE OF LEAVE**
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SECTION I: EMPLOYEE INFORMATION
First Name:
*
Your answer
Last Name:
*
Your answer
Employee ID #
*
Your answer
Work Location:
*
Your answer
Position/Title:
*
Your answer
Red Clay Email Address:
*
Your answer
Contact Number:
*
Your answer
Supervisor:
*
Your answer
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