Law Firm Associate Paternity Leave of Absence Form
Please complete this form to request a paternity leave of absence. All information will be used to process your leave request in accordance with firm policies.
Associate's Full Name
*
First Name
Last Name
Employee ID
*
Department
*
Please Select
Litigation
Corporate
Real Estate
Tax
Intellectual Property
Employment
Other
Work Email Address
*
example@example.com
Mobile Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Supervisor's Name
*
Supervisor's Email Address
*
example@example.com
Leave Start Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Leave End Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Paternity Leave (optional)
Emergency Contact Name
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Signature (Please sign below to confirm your request)
*
Submit Leave Request
Submit Leave Request
Should be Empty: