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MFP Vacation/Time-Off Form
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Name: *
Your answer
Email: *
Your answer
Position *
First Day Away *
MM
/
DD
/
YYYY
Last Day Away *
MM
/
DD
/
YYYY
Date Returning to Work *
MM
/
DD
/
YYYY
Total # of Days Off *
Reason *
Give details below in "Additional Information" for reasons that have an '*' beside it (if conference, also indicate if attending or presenting).
Additional Information
Your answer
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