Emergency Leave Request Form
STEPHEN F. AUSTIN STATE UNIVERSITY
NACOGDOCHES, TEXAS

NOTE: All requests for Emergency Leave must be made by submitting a completed Emergency Leave Request form.

EMERGENCY LEAVE

(The university president may grant emergency leave for reasons determined to be for a good cause in good faith that the employee being granted the emergency leave intends to return to their position on expiration of the period of emergency leave.)

I am requesting emergency leave with pay from my department and Stephen F. Austin State University for the following: