APPENDIX E
   VILLAGE OF ORLAND HILLS PAID LEAVE OF ABSENCE FORM
Date:   
Employee:   
Department:   
Type of Leave (check one)                         Court Leave
                                        Bereavement Leave
                                        Military Reserve Leave
                                        Other            
Total Number of Days Taken (or to be taken):                         
Employee Signature:   
Supervisor Approval:   
Supervisor Denial:   
Copies:   Finance
      Department
      Employee
(Ord. 89-09, passed 4-12-89)