MIA Time Off Request Form
Assalamu Alaykum wa Rahamtullahi wa Barakatuhu,

This form is to submit requests for time off (paid, unpaid or sick days) for shura approval. The shura will aim to respond to all requests within as soon as possible, inshaAllah. Time Off forms should be submitted at least two weeks before the requested start date and will not be accepted 1 week before the requested start date. Please refer to your contract for specifics on your vacation and sick day policy.

May Allah bless your work and write you from amongst the people of jannah, amin

Jazakum Allahu Khayran
MIA Shura
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Email *
Name *
First Day of Time Off Requested *
MM
/
DD
/
YYYY
Last Day of Time Off Requested *
MM
/
DD
/
YYYY
Which of your responsibilities and programs will be effected during this time off? Please detail the coverage have you arranged and their contact information. *
What kind of Time Off is this request? *
Additional Comments (Optional)
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