Military Leave Notice (USERRA)

# Military Leave Notice (USERRA) This notice is provided by an employee to their employer in advance of a period of uniformed service. Advance notice is generally required under USERRA unless precluded by military necessity or otherwise impossible or unreasonable. --- ## Part A — Employee Information **Full Legal Name:** ___________ **Employee ID / Personnel Number:** ___________ **Department:** ___________ **Job Title:** ___________ **Manager / Supervisor Name:** ___________ **Work Email:** ___________ **Work Phone:** ___________ **Date of Hire:** ___________ --- ## Part B — Military Service Information **Branch of the Uniformed Services:** ___________ **Nature of Service / Duty Type:** ___________ **Unit Name and Location (if permitted to disclose):** ___________ **Military Orders Reference Number (if available):** ___________