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2019 Time off request
Please submit the times you need to take off work. This form is to be submitted AT LEAST 2 weeks prior to the day/days you are requesting off for. If you need to submit a leave request in less than 2 weeks, a form must be submitted in person to your Director.
Email address *
Name *
Your answer
Location *
Title *
Leave date *
MM
/
DD
/
YYYY
Date returning *
MM
/
DD
/
YYYY
Total amount of hours requested of: *
Your answer
Time requesting to leave (only fill out if it is part of a day)
Your answer
Time back (only fill out if it is part of a day)
Your answer
Reason for leave
Your answer
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