Reason for Request definition

Reason for Request. (if requesting specific replacement, please list their name and UMB email here) Any financial adjustments will be made according to your official release date and the date of check out in accordance with the guidelines on reverse. Initial here:

Reason for Request. Please note all applicants must attach appropriate documentation from a licensed health care provider regarding absence. Employee Signature Immediate Supervisor Signature _ Please forward to the Human Resources Department following supervisor's signature acknowledging awareness of request. SICK LEAVE POOL COMMITTEE ACTION Date request was received by the Sick Leave Pool Committee: _ Denied ( ) Approved ( ) Number of days granted: Date APPENDIX F: BASIC CONTRACT

Reason for Request. Monthly From: Bi-Monthly From: & Bi- Weekly From: (circle day) M T W TH F Weekly From: (circle day) M T W TH F To: To: & To: (circle day) M T W TH F To: (circle day) M T W TH F Mandatory: [ ] Permanent [ ] One-Time Only (regular drafts to resume after one time change) Effective Date: You may return this Agreement via mail or fax to (000) 000-0000. I have read and understand the terms and possible repercussions printed in this agreement. I understand that if Consumers Alliance Processing Corporation does not receive this form within FOUR business days prior to your schedule debit date, changes will not be effective until the following ACH Debit date. Client’s Signature: Date: Consumers Alliance Processing Corporation ▪ 0000 Xxxxxx Xxxxx ▪ Suite 101 ▪ Carlsbad, CA 92008 Toll Free (000) 000.0000 ▪ Fax (000) 000.0000 Website: xxx.XxXxxxxxxxxx.xxx

Examples of Reason for Request in a sentence

• Doctors first and last nameMedicaid Provider ID#Date of assignment Reason for Request to Assign/Change Doctor (Primary Care Provider) Choose all that apply.

• Reason for Request: Conformance to the By-­‐law is inconsistent with local needs and would preclude construction of the project as proposed.G.L. c.

• Pending Request detail information categories include Application, Role, Request ID, Submit Date, Expiration Date, Reason for Request, and Role Attributes (Conditional).

• Premium: Indemnity: Liability: Cause of loss: Reason for Request: Certification Statement: I certify that the information I have furnished on this request is complete and accurate.

• In a Board of six the President and two others should be from the Service of the defendant while up to three other lay e]eZ]jk [gmd\ Z] \jYof ^jge ^gj l`] gl`]j log- Ff uhjg^]kkagfYdv ljaYdk+ ]-_- ship or aircraft hazarding or collision, then a single Service panel may well remain appropriate.

• Reason for Request: Provide a brief description of why refund is being requested.17.

• If you are purchasing items from two categories and one category totals less than $20, these items can be included in one incidental as long as the additional under $20 items are stated in the Reason for Request field.

• Reason for Request: Please mark only one reason and attach the required verification/documentation.

• Reason for Request - Per Metro Ordinance BL2003-1353, restaurants that have already obtained a license from the Tennessee Alcoholic Beverage Commission permitting the sale of alcoholic beverages for on-premises consumption will be exempted from the minimum distance requirements for the issuance of beer permits if a commercial PUD is established over the subject property.

• Name: School: Date(s) Requested: Reason for Request: Teacher’s Signature Date Approved Superintendent’s signature Community Consolidated School District 15 000 X.

More Definitions of Reason for Request

Reason for Request. To take part in the International Baccalaureate Programme in the junior and senior years of high school.  Current School District Release Request (if outside of Orange County Schools) MUST be made upon transfer approval to Orange County Schools.  Prior to June of each school year, the Board shall identify schools that are over capacity and cannot accept any new reassignment requests for the upcoming school year. Students currently enrolled in OCS schools will be given priority, with CHCCS receiving second priority, and non-Orange County districts third. FOR OUT-OF-DISTRICT TRANSFER STUDENTS:  Beginning with the Class of 2015, out-of-district students (those not currently living in Orange County) are required to pay the IB Registration and Exam fees IN ADDITION to the Orange County Schools Tuition  IB Registration & Exam Fees amount to at total of $800 and are paid ONCE, in the SENIOR YEAR  The payment is due by Oct. 15, prior to exam registrations on Oct. 25.  This payment can be made in cash or check payable to Orange County Schools International Baccalaureate Program (or OCS IB) FOR OFFICE USE ONLY: Approved?  YES  NO (Reason: ) Out of District Tuition Paid My signature below certifies that I have completely and accurately answered the information above. Should any of the responses change after completing this application, I will notify the Office of Secondary Instruction immediately. I understand that the district can revoke this school transfer assignment, if there is discovery of false information, violation of Orange County Schools’ Code of Student Conduct, poor attendance, and/or frequent tardies. This decision to revoke my child’s school transfer assignment cannot be appealed. I further understand that the district is under no obligation to provide transportation for my child.

Reason for Request. Please note all applicants must attach appropriate documentation from a licensed health care provider regarding absence. Employee Signature Immediate Supervisor Signature _ Please forward to the Human Resources Department following supervisor's signature acknowledging awareness of request. SICK LEAVE POOL COMMITTEE ACTION Date request was received by the Sick Leave Pool Committee: _ Denied ( ) Approved ( ) Number of days granted: Date APPENDIX F: BASIC CONTRACT‌ UNIFIED SCHOOL DISTRICT NO. 232, XXXXXXX COUNTY, KANSAS PROFESSIONAL EMPLOYEE'S BASIC CONTRACT This contract is made and entered into this , by and between the Board of Education of USD No. 232 (hereinafter called the “Board”) and (hereinafter called the "Professional Employee"). The parties agree that the Professional Employee will be employed by the Board for the 2022-23 school year, as determined by the Board, at a total salary of plus fringe benefits; and in accordance with and subject to the following terms and conditions: