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IMPORTANT MESSAGE: 12/15/2017 at 10:53 AM -- Refresh page to update message

Montgomery County Public Schools will remain open today, December 15, 2017. Dismissal and all activities will continue as scheduled.

MENSAJES DE EMERGENCIA: 12/15/2017, 10:53 AM -- Refresque la página para actualizar mensaje

Las Escuelas Públicas del Condado de Montgomery permanecerán abiertas hoy, viernes 15 de diciembre de 2017 en horario regular. Las actividades continuarán según programadas.

FormsStaffLeave Request → Leave Request (NOT Requiring ERSC Authorization)

Leave Request (NOT Requiring ERSC Authorization)

One form per page

About this Form

Form number: 430-1A

Audience:  MCPS Staff

Last revised: June 2011

Related Forms

Form 430-1A2 - Leave Request (NOT Requiring ERSC Authorization)

Form 430-1 - Leave Request (Requiring ERSC Authorization)

Form 430-94 - Professional Leave (PRO)

INSTRUCTION: To be completed when an employee is requesting annual or personal leave for any number of days/hours, bereavement leave for 5 days or fewer, or all other types of leave for 4 days or fewer. Leave requests not meeting these criteria should be submitted on MCPS Form 430-1. Attach copies of appropriate documentation and submit to your principal/director/supervisor. Approved form must be attached to employee’s timesheet. Refer to reverse side for detailed instructions.
One form per page.

Adobe PDF Leave Request (NOT Requiring ERSC Authorization)
One form per page
98 KEnglish

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