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Time Off Request
Absence makes the heart grow fonder! Taking some time away?
Name *
Your answer
Email Address *
Your answer
What is today's date? *
MM
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DD
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YYYY
What is your phone number? *
Your answer
What location do you work at? *
How many full days will you be absent from work? *
Your answer
How many half days (any amount of time less than 4 hours) will you be absent from work? *
Your answer
Select all the days that are considered a work day for you. *
A work day is any day you are expected to be using the skills for which you are being paid.
Required
What date will begin your absence? *
MM
/
DD
/
YYYY
What date will you return to work? *
MM
/
DD
/
YYYY
Is this requested leave direct by your supervisor & related to your duties? *
This does not apply to vacation days.
Please choose the applicable leave type according to your understanding. *
Tell us some details and reasons for requesting your time off *
Your details help us categorize your time off in the most beneficial way for you. Thank you for your assistance with this.
Your answer
Who is your supervisor? *
Your answer
What is your supervisor's email address? *
Your answer
Who else needs to be notified?
Your answer
What is their email?
Your answer
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