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Leave without Pay (LWOP) – See the City Personnel Policy Manual REQUEST FOR LEAVE Employee’s Name: Vacation Leave Requested Date(s) of Leave: Total Leave hours Current Balance as of Last Pay Period (see your check stub) Previously Approved Leave (not included in Current Balance) Available Balance: Sick Leave Requested Date(s) of Leave: Total Leave hours Current Balance as of Last Pay Period (see your check stub) Previously Approved Leave (not included in Current Balance) Available Balance: Compensatory Time Note: Comp time should be used before use of vacation time Requested Date(s) of Leave: Total Leave hours Current Balance as of Last Pay Period (see your check stub) Previously Approved Leave (not included in Current Balance) Available Balance: Comments: Employee’s Signature Date Approving Supervisor/Manager’s Signature Date