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  • Leave of Absence Request Form

Leave of Absence Request Form (Form 1001)

The Leave of Absence Request form is completed by the employee requesting a leave of absence and submitted to their departmental representative. This form is to be maintained in a confidential file in the employee's department and should not be submitted to Corporate Payroll.

Form Name Format
Leave of Absence Request Form (Form 1001) PDF
Leave of Absence Request Form (Form 1001) Word

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Human Resources

Duke Human Resources
705 Broad St. Box 90496
Durham, NC 27705
Phone: (919) 684-5600
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