Leave Request Form | Stillman College

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Stillman College Check Requisition

This requisition must be signed and coded by the Division Chairperson, the Vice President, or and Administrative Officer and turned in to the Office of Fiscal Affairs five days before the check is mailed or picked up. This form may not be used to make direct purchases. If funds are available, the Office for Finance and Administration will issue the check for the amount requested. This request must be approved by the VP for Finance and Administration before the check issued. This document acknowledges that all goods and services have been received.

"*" indicates required fields

This requisition must be signed and coded by the Division Chairperson, the Vice President, or and Administrative Officer and turned in to the Office of Fiscal Affairs five days before the check is mailed or picked up. This form may not be used to make direct purchases. If funds are available, the Office for Finance and Administration will issue the check for the amount requested. This request must be approved by the VP for Finance and Administration before the check issued. This document acknowledges that all goods and services have been received.

For Department*

Date Submitted*

RequestedBy*

Date Needed*

Approved By*

Amount Requested $*

Vice President*

Payable To*

Address*

Street Address City State ZIP Code

Vendor #*

Detail*

Description/Purpose*

Invoice Number*

Invoice Date

Charge Account

Fiscal Affairs Office Use Only

Authorized Signature

Date

Entered By

Date*

JE*

Leave-Request-Form

"*" indicates required fields

LEAVE INFORMATION

Section 1

First Name :*

MI :

Last Name :

CWID :*

Department :*

Section 2

Current Leave Balance :*

LEAVE TYPE*

Annual Leave

Sick Leave

Compensatory Leave

LEAVE PERIOD

FORM :*

To :*

Total Hours taken :

Section 3

Employee Signature*

Date

Supervisor Signature*

Date

Instructions

Employee must Complete Sections 1 and 2 then sing and date in Section 3.
Supervisor must sign and date Section 3.
Supervisor will give employees a copy of approval leave form.
Attach to payroll certification, if leave taken. and forward to all payroll office.
If no leave is taken, Please destroy this form .
Maintain three(3)copies -one for employees,one for supervisor , and one to attach to payroll certification.

Revised :

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