Forms

013 BUCK SLIP

This form is used for a request within the facility.

PS FORM 3189

This form is used to request a change in schedule.
(note: once filled and printed this form must be presented to your immediate supervisor.)

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PS FORM 3971

This form is used to request time off.
(note: once filled and printed this form must be presented to your immediate supervisor.)

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PS FORM 8043

This form is used to request a District or Area Human Resource office to amend an Electronic Official Personnel Folder (eOPF).
(note: once printed and filled this form must be mailed to Corporate Personnel Management.)

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FMLA SELF

This form is used to request medical leave covered under the Family Medical Leave Act.
(note: once Sections I and II are filled this form must be presented to your doctor in order to complete Section III.)

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FMLA FAMILY

This form is used to request medical leave for a family member covered under the Family Medical Leave Act.
(note: once Sections I and II are filled this form must be presented to your doctor in order to complete Section III.)

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ADMINISTRATIVE WORK SHEET

This form is used to request administrative leave (i.e snowstorm, hurricane, acts of God).
(note: once printed and filled this form must be presented to your immediate supervisor.)

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