USAFE Form 857 Master Format.pdf

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LN Payroll System
Solicitation number
FA560620Q2061
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URLAUBSANTRAG (LEAVE REQUEST)

1. ART DES URLAUBS (Type of leave) 2. URLAUBSDAUER (Duration of leave)

a. VOM (JJJJMMTT)a. JAHRESURLAUB (Annual Leave)

(From) (YYYYMMDD)

b. BIS (JJJJMMTT)b. UNBEZAHLTER URLAUB (Begrundung in Block 3) (To) (YYYYMMDD)(Leave Without Pay (Explain in Block 3))

TAGE (days)

c. ANZAHL DERc. ARBEITSBEFREIUNG (Begrundung in Block 3)

(Number of)(Administrative Leave (Explain in Block 3)) STUNDEN (hours)

3. GRUND (Reason)

4. ARBEITNEHMER(IN) (Employee)

a. NAME IN BLOCKSCHRIFT (Printed name) b. UNTERSCHRIFT (Signature) c. DATUM (JJJJMMTT)

(DATE (YYYYMMDD))

5. VORGESETZTE(R) (Supervisor)

a. ANTRAG (Request)

GENEHMIGT (Approved) ABGELEHNT (Disapproved)

b. BEMERKUNGEN (Remarks)

c. NAME IN BLOCKSCHRIFT (Printed name) d. UNTERSCHRIFT (Signature) e. DATUM (JJJJMMTT)

(DATE (YYYYMMDD))

USAFE FORM 857, 19990901 (IMT-V1)

a JAHRESURLAUB Annual Leave: Off
b UNBEZAHLTER URLAUB Begrundung in Block 3: Off
c ARBEITSBEFREIUNG Begrundung in Block 3: Off
a VOM JJJJMMTT From YYYYMMDD:
b BIS JJJJMMTT To YYYYMMDD:
TAGE days: Off
STUNDEN hours: Off
undefined:
3 GRUND Reason:
a NAME IN BLOCKSCHRIFT Printed name:
b UNTERSCHRIFT Signature:
c DATUM JJJJMMTT DATE YYYYMMDD:
undefined_2: Off
undefined_3: Off
c NAME IN BLOCKSCHRIFT Printed name:
d UNTERSCHRIFT Signature:
e DATUM JJJJMMTT DATE YYYYMMDD:

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