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Payroll Leave of Absence Form

Form must be used to establish all LOA's including Sabbatical and Research leaves, as well as Family & Medical leaves. Must also be used to return employees from leaves of absence. The Payroll Leave of Absence Form should be sent to the HR Staff and Labor Relations office, Box 3904, Durham, NC 27710, along with the request form and Certification of Health care provider form.

Form Name	Format
Payroll Leave of Absence Form	PDF
Payroll Leave of Absence Form	Word

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