Employee Leave Application Form
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266 Broadway Suite 502 Brooklyn, NY 11211 (T) 718 305 6700 (F) 718 305 6824 www.advancedcarestaffing.com We take staffing close to heart.. Employee signature: Date: Approved by: , Supervisor/DNS/ADNS Account Manager: Date: Date: FOR HR DEPARTMENT USE ONLY DATE POSTED: EARNED CREDITS LEAVE STATUS WITH PAY PROCESSED BY: WITHOUT PAY PREVIOUS BALANCE POSTED BY: LESS: APPLIED LEAVE BALANCE TO DATE Leave of Absence Form - Rev..
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