699 leave Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Did you submit a request in writing for 699 leave between November 9, 2020, and April 1, 2022? *YesNoInsert date requested *Was your request denied? *YesNoWas a grievance filed in relation to this situation? *YesNoInclude grievance reference number *NextBased on the information provided, you do not qualify. If you have questions or need additional support, please contact us by selecting “699 Leave” in the dropdown menu. Department *(At the time you requested the leave)Name and position title of the manager *(At the time you requested the leave)Employee name *PRI *(Personal Record Identifier)Dates covered by this requestFrom *(Between November 9, 2020, and April 1, 2022)To: *(Between November 9, 2020, and April 1, 2022)Hours of leave requested *Reason for leave requested *Type of leave used in lieu of 699 leave *Annual leaveSick leaveDescribe the facts giving rise to the denial of 699 leave *Provide all written documentation related to the request for 699 leave Click or drag files to this area to upload. You can upload up to 10 files. (Includes request made, denial from management, explanation of situation that lead to the requirement to be on leave, etc. [PDF preferred])I confirm that the information provided in this form is accurate *YesNoSignature * Clear Signature Date *Submit
