College of Agriculture & Natural Resources
Animal & Avian Sciences

ANSC Leave Request Form

This Leave Request form is used by an employee when asking for paid leave from his or her job. This form contains the employee’s name, requested dates of leave, type of and purpose for the paid leave.



For a short term leave (2 days or less), please fill out dates, hours, and leave types below.





For a long term leave (3 days or more), please fill out start date, end date, and total hours below.



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