%PDF-1.4 % 6 0 obj <> endobj xref 6 175 0000000016 00000 n 0000003893 00000 n 0000004404 00000 n 0000004467 00000 n 0000004679 00000 n 0000004981 00000 n 0000005089 00000 n 0000005152 00000 n 0000005240 00000 n 0000005317 00000 n 0000005486 00000 n 0000005516 00000 n 0000005673 00000 n 0000005871 00000 n 0000005901 00000 n 0000006058 00000 n 0000006256 00000 n 0000006286 00000 n 0000006442 00000 n 0000006638 00000 n 0000006668 00000 n 0000006824 00000 n 0000006988 00000 n 0000007018 00000 n 0000007166 00000 n 0000007323 00000 n 0000007353 00000 n 0000007502 00000 n 0000007660 00000 n 0000007690 00000 n 0000007839 00000 n 0000007980 00000 n 0000008010 00000 n 0000008166 00000 n 0000008317 00000 n 0000008347 00000 n 0000008496 00000 n 0000008647 00000 n 0000008677 00000 n 0000008825 00000 n 0000008968 00000 n 0000008998 00000 n 0000009154 00000 n 0000009305 00000 n 0000009335 00000 n 0000009484 00000 n 0000009635 00000 n 0000009665 00000 n 0000009813 00000 n 0000009949 00000 n 0000009979 00000 n 0000010128 00000 n 0000010279 00000 n 0000010309 00000 n 0000010457 00000 n 0000010623 00000 n 0000010653 00000 n 0000010810 00000 n 0000010996 00000 n 0000011026 00000 n 0000011182 00000 n 0000011361 00000 n 0000011391 00000 n 0000011547 00000 n 0000011729 00000 n 0000011759 00000 n 0000011908 00000 n 0000012053 00000 n 0000012083 00000 n 0000012239 00000 n 0000012445 00000 n 0000012475 00000 n 0000012621 00000 n 0000012817 00000 n 0000012847 00000 n 0000012993 00000 n 0000013154 00000 n 0000013184 00000 n 0000013330 00000 n 0000013488 00000 n 0000013518 00000 n 0000013667 00000 n 0000013833 00000 n 0000013863 00000 n 0000014012 00000 n 0000014174 00000 n 0000014204 00000 n 0000014353 00000 n 0000014517 00000 n 0000014547 00000 n 0000014702 00000 n 0000014859 00000 n 0000014889 00000 n 0000015045 00000 n 0000015253 00000 n 0000015285 00000 n 0000015433 00000 n 0000015627 00000 n 0000015659 00000 n 0000015817 00000 n 0000015988 00000 n 0000016020 00000 n 0000016170 00000 n 0000016328 00000 n 0000016360 00000 n 0000016518 00000 n 0000016685 00000 n 0000016717 00000 n 0000016868 00000 n 0000017030 00000 n 0000017062 00000 n 0000017213 00000 n 0000017376 00000 n 0000017408 00000 n 0000017556 00000 n 0000017758 00000 n 0000017790 00000 n 0000017948 00000 n 0000018102 00000 n 0000018134 00000 n 0000018292 00000 n 0000018471 00000 n 0000018503 00000 n 0000018661 00000 n 0000018823 00000 n 0000018855 00000 n 0000019013 00000 n 0000019047 00000 n 0000019116 00000 n 0000019186 00000 n 0000019256 00000 n 0000019285 00000 n 0000019315 00000 n 0000019345 00000 n 0000019366 00000 n 0000019387 00000 n 0000019408 00000 n 0000019429 00000 n 0000019450 00000 n 0000019471 00000 n 0000019492 00000 n 0000019513 00000 n 0000019543 00000 n 0000019612 00000 n 0000019661 00000 n 0000019730 00000 n 0000019753 00000 n 0000019822 00000 n 0000019891 00000 n 0000019915 00000 n 0000019944 00000 n 0000019973 00000 n 0000019998 00000 n 0000020026 00000 n 0000020054 00000 n 0000020124 00000 n 0000020194 00000 n 0000020226 00000 n 0000020253 00000 n 0000020282 00000 n 0000020305 00000 n 0000020330 00000 n 0000020393 00000 n 0000020423 00000 n 0000020464 00000 n 0000020488 00000 n 0000027348 00000 n 0000028419 00000 n 0000029485 00000 n 0000030546 00000 n 0000031603 00000 n 0000031839 00000 n 0000032079 00000 n 0000032310 00000 n 0000004000 00000 n trailer<<47a9878e8439890f5787b574acea73aa>] >> startxref 0 %%EOF 7 0 obj <> endobj 180 0 obj<
>stream x퐽JAόd6dT,LL@ 6 2eJE,TI YlN;lg)|ps@(騇Iq7c`}=Q$xLWi*"_-#YEa>#g- 1(#s;psXbOO0#mO\.ҶS6kQCf!k+h8,5{CZ]6#ÌH=DY/r@ܢRcgS쐎$pU>)! ("$ˇ:0OQr8l%L? endstream endobj 8 0 obj <> endobj 9 0 obj <>>>/Contents 171 0 R/CropBox[0 0 595 842]/Rotate 0/Annots 10 0 R>> endobj 10 0 obj [ 15 0 R 18 0 R 21 0 R 24 0 R 27 0 R 30 0 R 33 0 R 36 0 R 39 0 R 42 0 R 45 0 R 48 0 R 51 0 R 54 0 R 57 0 R 60 0 R 63 0 R 66 0 R 69 0 R 72 0 R 75 0 R 78 0 R 81 0 R 84 0 R 87 0 R 90 0 R 93 0 R 96 0 R 99 0 R 102 0 R 105 0 R 108 0 R 111 0 R 114 0 R 117 0 R 120 0 R 123 0 R 126 0 R 129 0 R] endobj 11 0 obj <>/Font<>/ProcSet[/PDF/Text]>> endobj 12 0 obj <> endobj 13 0 obj <> endobj 14 0 obj <> endobj 15 0 obj <> endobj 16 0 obj <> endobj 17 0 obj <>stream x endstream endobj 18 0 obj <> endobj 19 0 obj <> endobj 20 0 obj <>stream x endstream endobj 21 0 obj <> endobj 22 0 obj <> endobj 23 0 obj <>stream x endstream endobj 24 0 obj <> endobj 25 0 obj <> endobj 26 0 obj <>stream x endstream endobj 27 0 obj <> endobj 28 0 obj <> endobj 29 0 obj <>stream x endstream endobj 30 0 obj <> endobj 31 0 obj <> endobj 32 0 obj <>stream x endstream endobj 33 0 obj <> endobj 34 0 obj <> endobj 35 0 obj <>stream x endstream endobj 36 0 obj <> endobj 37 0 obj <> endobj 38 0 obj <>stream x endstream endobj 39 0 obj <> endobj 40 0 obj <> endobj 41 0 obj <>stream x endstream endobj 42 0 obj <> endobj 43 0 obj <> endobj 44 0 obj <>stream x endstream endobj 45 0 obj <> endobj 46 0 obj <> endobj 47 0 obj <>stream x endstream endobj 48 0 obj <> endobj 49 0 obj <> endobj 50 0 obj <>stream x endstream endobj 51 0 obj <> endobj 52 0 obj <> endobj 53 0 obj <>stream x endstream endobj 54 0 obj <> endobj 55 0 obj <> endobj 56 0 obj <>stream x endstream endobj 57 0 obj <> endobj 58 0 obj <> endobj 59 0 obj <>stream x endstream endobj 60 0 obj <> endobj 61 0 obj <> endobj 62 0 obj <>stream x endstream endobj 63 0 obj <> endobj 64 0 obj <> endobj 65 0 obj <>stream x endstream endobj 66 0 obj <> endobj 67 0 obj <> endobj 68 0 obj <>stream x endstream endobj 69 0 obj <> endobj 70 0 obj <> endobj 71 0 obj <>stream x endstream endobj 72 0 obj <> endobj 73 0 obj <> endobj 74 0 obj <>stream x endstream endobj 75 0 obj <> endobj 76 0 obj <> endobj 77 0 obj <>stream x endstream endobj 78 0 obj <> endobj 79 0 obj <> endobj 80 0 obj <>stream x endstream endobj 81 0 obj <> endobj 82 0 obj <> endobj 83 0 obj <>stream x endstream endobj 84 0 obj <> endobj 85 0 obj <> endobj 86 0 obj <>stream x endstream endobj 87 0 obj <> endobj 88 0 obj <> endobj 89 0 obj <>stream x endstream endobj 90 0 obj <> endobj 91 0 obj <> endobj 92 0 obj <>stream x endstream endobj 93 0 obj <> endobj 94 0 obj <> endobj 95 0 obj <>stream x endstream endobj 96 0 obj <> endobj 97 0 obj <> endobj 98 0 obj <>stream x endstream endobj 99 0 obj <> endobj 100 0 obj <> endobj 101 0 obj <>stream x endstream endobj 102 0 obj <> endobj 103 0 obj <> endobj 104 0 obj <>stream x endstream endobj 105 0 obj <> endobj 106 0 obj <> endobj 107 0 obj <>stream x endstream endobj 108 0 obj <> endobj 109 0 obj <> endobj 110 0 obj <>stream x endstream endobj 111 0 obj <> endobj 112 0 obj <> endobj 113 0 obj <>stream x endstream endobj 114 0 obj <> endobj 115 0 obj <> endobj 116 0 obj <>stream x endstream endobj 117 0 obj <> endobj 118 0 obj <> endobj 119 0 obj <>stream x endstream endobj 120 0 obj <> endobj 121 0 obj <> endobj 122 0 obj <>stream x endstream endobj 123 0 obj <> endobj 124 0 obj <> endobj 125 0 obj <>stream x endstream endobj 126 0 obj <> endobj 127 0 obj <> endobj 128 0 obj <>stream x endstream endobj 129 0 obj <> endobj 130 0 obj <> endobj 131 0 obj <>stream x endstream endobj 132 0 obj (Employees_name) endobj 133 0 obj (Name_of_covered_military_member_on_active_duty_or) endobj 134 0 obj (Relationship_of_covered_military_member_to_employe) endobj 135 0 obj (Dates_of_covered_military_members_active_duty_serv) endobj 136 0 obj (Textfield) endobj 137 0 obj (Textfield0) endobj 138 0 obj (Textfield1) endobj 139 0 obj (1) endobj 140 0 obj (2) endobj 141 0 obj (3) endobj 142 0 obj (4) endobj 143 0 obj (5) endobj 144 0 obj (6) endobj 145 0 obj (7) endobj 146 0 obj (8) endobj 147 0 obj (Textfield2) endobj 148 0 obj (Please_attach_any_available_written_documentation) endobj 149 0 obj (Probable_duration_of_exigency) endobj 150 0 obj (Will_you_need_to_be_absent_from_work_for_a_single) endobj 151 0 obj (Yes) endobj 152 0 obj (If_so_estimate_the_beginning_and_ending_dates_for) endobj 153 0 obj (Will_you_need_to_be_absent_from_work_periodically) endobj 154 0 obj (Yes0) endobj 155 0 obj (Frequency) endobj 156 0 obj (times_per) endobj 157 0 obj (weeks) endobj 158 0 obj (Duration) endobj 159 0 obj (hours_or) endobj 160 0 obj (Approximate_date_exigency_commenced_or_will_commen) endobj 161 0 obj (Name_of_Individual_or_Entity_with_whom_you_are_mee) endobj 162 0 obj (Organization) endobj 163 0 obj (Address) endobj 164 0 obj (Telephone) endobj 165 0 obj (Fax) endobj 166 0 obj (Email) endobj 167 0 obj (Briefly_describe_the_purpose_of_the_meeting) endobj 168 0 obj (Textfield3) endobj 169 0 obj (Signature_of_Employee) endobj 170 0 obj (Date) endobj 171 0 obj <>stream x]oǑ.~f=܇@-#-'r>|0\E-)ǯkzgݕs9x53=ợ'GObhgb¬EWuhѓKMחGOvGOMzT5]"4 фzч]ex$*5`V6l{zQy ~!,>?jĀ쟉 <ܓ,@_Kx"lsr%@b'Z2dA.hkA^`O\TkYL!]8̩+V <2rpN*s,eh