Louisiana State University
Department of Foreign Languages & Literatures
Leave Application
Name _________________________________________________
Requests _____ leave hours of ___ Annual ___ Sick ___ Compensatory
___ Leave without pay
Beginning ________________________ through __________________________
Date
Time
Date
Time
Remarks __________________________________________________________
I certify that my absence from work was for the reason noted in remarks.
__________________________________________
Employee signature
_______________
Date
__________________________________________
Supervisor signature
_______________
Date
Louisiana State University
Department of Foreign Languages & Literatures
Leave Application
Name _________________________________________________
Requests _____ leave hours of ___ Annual ___ Sick ___ Compensatory
___ Leave without pay
Beginning ________________________ through _________________________
Date
Time
Date
Time
Remarks __________________________________________________________
I certify that my absence from work was for the reason noted in remarks.
__________________________________________
Employee signature
_______________
Date
__________________________________________
Supervisor signature
_______________
Date