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52 West Main Street
Washingtonville, NY 10992

Phone: 845.497.4000
Fax: 845.497.4030
Personnel Forms & Documents
Page 1 is the Cancer Screening Leave Request. Please fill out the appropriate blocks online, print, sign it and submit to the Personnel Office. Page 2 is the Cancer Screening Verification Form which must be signed by the doctor. Also fill out the appropriate blocks online, then print and take to the appointment.
© 2018. Washingtonville Central School District. All Rights Reserved.
52 West Main Street Washingtonville, NY 10992  |  Phone: 845.497.4000  |  Fax: 845.497.4030
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