SFSU Human Resources
Leave Discrepancies Reporting Form

Use this form to report any discrepancies in your leave statement.

First Name: 

Last Name: 

Department 

In which month does the discrepancy first appear: 

Did you notice this discrepancy on previous leave statements:

What type of leave has the discrepancy: 

Which value has the discrepancy: 

How shall we contact you:

What is your E-mail address/Phone number: 

Describe the discrepancy: 


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