Time-off Request Form
Your request for time off must be submitted for authorization at least a week prior to requested date. Sick time can be completed as needed. Thank you!
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Email *
Reason for request *
Required
Start Date *
MM
/
DD
/
YYYY
End Date *
MM
/
DD
/
YYYY
How many total work hours is the request for? *
(2 days off, for someone who works 1PM to 6PM, would be 10 total work hours)
A copy of your responses will be emailed to the address you provided.
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