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MCPS
FORMS > STAFF FORMS > Leave Request
INSTRUCTION: To be completed when an employee is requesting annual or personal leave for any number of days/hours, bereavement leave for 5 days or
fewer, or all other types of leave for 4 days or fewer. Leave requests not meeting these criteria should be submitted on MCPS Form 430-1. Attach copies of
appropriate documentation and submit to your principal/director/supervisor. Approved form must be attached to employee’s timesheet. Refer to reverse
side for detailed instructions.
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Leave Request
(NOT Requiring ERSC Authorization) |
74 K |
430-1A |
Forms require Adobe Acrobat Reader 8 or higher. Get Acrobat
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