Time Off Request
Name: *
Your answer
Number of days requesting off: *
Your answer
Starting on: *
MM
/
DD
/
YYYY
Ending on: *
MM
/
DD
/
YYYY
I will return to work on: *
MM
/
DD
/
YYYY
Type of Request: *
Required
Do you want to use PTO hours? *
Comments:
Your answer
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