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District Office Time off request
Please submit the times you need to take off work and the type of leave you are taking.
Email address
Campus
Name
Your answer
Leave date(s)
Your answer
AM/PM/All day
Type of leave
Type of leave
Description if needed. Fusce dapibus, tellus ac cursus commodo, tortor mauris condimentum.
Reason for leave
Your answer
Time Remaining
A copy of your responses will be emailed to the address you provided.
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