Federal Employees' Leave Record Card

Leave Record Card Order Form

Leave Cards are now available in a variety of ways! You can print the forms or order them on-line!

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p-84 (regular pay period beginning 1/04/09) Quantity (p-84):

p-85 (alternate pay period beginning 1/11/09) Quantity (p-85):

Your name:

E-mail Address:

Mailing Address:

Telephone:

City:

Your state:

Zip Code:

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