Wabash Valley Online Application Consortium - Classified Staff Request for an Unpaid Leave of Absence
Classified Staff Request for an Unpaid Leave of Absence
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As a general rule, leave without pay will not be granted. Should the employee have a unique one-time situation arise for which the employee believes time off without pay is warranted, a written request is required. Unpaid time off requests are to be submitted to the proper designee
two weeks before the absence occurs unless there is an emergency or sudden illness
. Requests are considered on an individual basis and may not be approved. Time off without an approved leave shall be subject to discipline. All paid time accrued must be exhausted before unpaid time off will be considered for approval.
To request unpaid time off, this form is to be completed by the employee and submitted. The form is then reviewed by the Payroll Specialist and routed to the employee's supervisor. The employee's supervisor will review the request and recommend approval or denial. The form is then routed to the final designee for official approval or denial. The original submitter will receive confirmation of the final decision once available.
Employee's name:
Email address:
Location:
WLES
WLIS
WLJSHS
Central Office
Special Education Office
Food Service
Transportation
Custodial Maintenance
Requested begin date of absence:
Requested end date of absence:
Reason for unpaid leave of absence:
Employee's signature:
Signing
Signature is required
By typing in your name (your “eSignature”), you accept and consent to be legally bound by this document’s statements, terms and conditions as if this document was signed by you in writing with pen on paper. You agree that no third party or other means of verification is necessary to validate your eSignature and that the lack of such third party or other means of verification will not in any way affect the enforceability of this document.
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History
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Someone fills out the form
Sent To: Public User, On:
4/18/2025 7:40:29 PM Eastern Standard Time