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Leave Request Form

This form is for Exempt and Non-Exempt UMBC employees in the Division of Student Affairs (DoSA) to submit leave requests to a supervisor. Please select your department below and choose your supervisor from the list.

Please note:

  • If your supervisor is not yet listed, please select Other and write in the name and email of your supervisor.
  • If you wish to submit a request using more than 1 type of leave, please submit a form for each leave type specifying the days for that leave.