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409.3E4 – Employee Family & Medical Leave Request Worksheet

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Series 400 – Employees
409 – Licensed Employee Vacations and Leaves of Absence
409.3 – Licensed Employee Family & Medical Leave
409.3E4 – Employee Family & Medical Leave Request Worksheet

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409.3E4FMLARequestWorksheet

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Nevada Community School District

Gates Memorial Hall | 825 15th Street | Nevada, IA 50201

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(515) 382-2783

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(515) 382-3521

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(515) 382-2751

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