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:

This page was last updated on Tuesday, April 4, 2006.