Attachment 7 - Bereavement Leave Certification Form.doc

DOC document 23 KB Posted

Attached to
Fort Bragg North Commissary - Shelf Stocking, Receiving/Storage/Holding Area and Custodial Operations
Solicitation number
HDEC08-20-R-0008
Issued by

About this file

This document contains a bereavement leave certification form and details of a federal contract opportunity for shelf stocking, receiving, storage, and custodial operations at Fort Bragg North Commissary. The bereavement leave form is for contractors to request reimbursement for bereavement leave paid to employees in accordance with the collective bargaining agreement.

The federal contract opportunity is a solicitation issued by the Defense Commissary Agency to provide shelf stocking, receiving, storage, holding area, and custodial operations at Fort Bragg North Commissary, Fort Bragg, North Carolina. Services are to be performed in accordance with the stated performance work statement. The opportunity type is a solicitation and the agency issuing the solicitation is the Defense Commissary Agency.

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Text version

ATTACHMENT 7

BEREAVEMENT LEAVE CERTIFICATION

REQUEST FOR PAYMENT

FORT BRAGG NORTH COMMISSARY

Contract Number:________________________________________________________

Store Locations: _________________________________________________________

Name of Employee:_______________________________________________________

Area of Operation (circle one): Shelf Stocking / Custodial / RSHA Name of Deceased:_______________________________________________________

Relationship to Employee:_________________________________________________

Dates of Bereavement Leave:_______________________________________________

I certify that the above named individual took Bereavement Leave in accordance with the provision of the Collective Bargaining Agreement (CBA) applicable to abovementioned contract and that the individual was paid according to its provisions. Pursuant to said agreement, the contractor is entitled to reimbursement.

(Signature)

(Name, Position, and Date)

File details come from the government source that posted it. Updated .