Common use of Action Taken Clause in Contracts

Action Taken. The leave request is: granted denied. If denied, the reasons for the denial are as follows: Date Superintendent Appendix N Employee: Date: Because of a personal illness or injury, not governed by any other illness or accident wage provisions, I am requesting consideration for leave sharing for the following reason(s): Please attach an attending physician’s statement of condition in order to receive appropriate consideration. Estimated leave days requested: Having read and understood the guidelines governing eligibility for leave sharing and believing my circumstances apply, I authorize the District to release pertinent information relative to my leave sharing request. Employee Signature

Action Taken. The leave request is: granted denied. If denied, the reasons for the denial are as follows: Date Superintendent Appendix N L Employee: Date: Because of a personal illness or injury, not governed by any other illness or accident wage provisions, I am requesting consideration for leave sharing for the following reason(s): Please attach an attending physician’s statement of condition in order to receive appropriate consideration. Estimated leave days requested: Having read and understood the guidelines governing eligibility for leave sharing and believing my circumstances apply, I authorize the District to release pertinent information relative to my leave sharing request. Employee Signature