Dues Exoneration Form.

Dues Exoneration Form

This form is used to request Dues Exoneration.
Name*

First NameLast Name
Email*
DO NOT USE A @jetblue email. This may cause your submission to be denied
Employee ID*
What month are you seeking an exoneration for?*
Type of leave*
RnR, Gateway, and Personal leaves are no longer exonerated leaves.
Other type of leave.
Date the leave started*

MonthDayYear
Date
Date of return to work /Expected date

MonthDayYear
Date
Are you still out on leave?*
Additional Info:
Should be Empty: