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Employee Time-Off Request Form
This form must be submitted at least two (2) weeks in advance of the requested day(s). Esta forma deveria de estar sometida al menos (2) semanas anteriorimente de los dias pedidos fueras.
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Email
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Your email
Date / Fecha:
MM
/
DD
/
YYYY
Employee Name / Nombre de Empleado:
Your answer
Position / Posicion:
Your answer
Vacation Dates Requested / Fechas de Vacaciones Solicitados:
Your answer
Return Date / Fecha de Regreso :
Your answer
Total # of days requested / Numero total de dias solicitados:
Your answer
Requesting time-off as / Solicitando dias fuera como:
Choose
Paid Vacation / Vacaciones Pagadas
Paid Sick / Enfermedad Pagada
Unpaid time off / Nada de pago por tiempo fuera
Reason for Request / Razon por solucitud:
Choose
Vacation / Vacaciones
Jury Duty / Servicio de Jurado
Personal Leave / Permiso Personal
Family Reasons / Razones Familiares
Funeral
Medicald Leave / Permiso Medico
I understand that time away from work is subject to management approval and company poly. Entiendo que el tiempo fuera del trabajo es subjeto a la aprovacion del manager y poliza de compania.
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