Attahcment_8_-Bereavement_Leave_Cert_Form.doc
DOC document 23 KB Posted
- Attached to
- Twentynine Palms shelf stocking, receiving/storage/holding area (RSHA), and custodial operations
- Solicitation number
- HDEC08-17-R-0012
- Issued by
-
Defense Commissary Agency
About this file
Bereavement Leave Certification
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment_3_-_Collective_Bargaining_Agreement.pdf | ||
| Attachment_6-TDWS_DLS.xls | XLS spreadsheet | |
| Attachment_7_-_Past_Performance_Information.doc | DOC document | |
| Attachment_2_-_Performance_Work_Statement.doc | DOC document | |
| Attachment_4__-_Cost_Breakout.xls | XLS spreadsheet | |
| Attachment_1_-DD_Form_1707,_Info_to_Offerors.doc | DOC document | |
| Attachment-_Technical_Capability_and_Personnel_Proposal.doc | DOC document | |
| HDEC08-17-R-0012.docx | DOCX document |
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Text version
ATTACHMENT 7
BEREAVEMENT LEAVE CERTIFICATION
REQUEST FOR PAYMENT
TWENTYNINE PALMS 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 .