Time off request
Please submit the times you need to take off work and the type of leave you are taking.
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Email *
Name *
Leave date(s) requested (please include weekend dates in your request if you will be unavailable for call outs so we make sure not to contact you during your requested time off) *
Time Off Requested (How many hours?) *
Reason For Request. *
Required
If you would like to use PTO (Paid Time Off), if it is available, please mark the type you would prefer to use below.  If you do not have enough available for your request, HR will contact you. *
Required
I understand that this request is subject to approval by my employer.  Paid Vacation Requests must be submitted at least 2 weeks in advance.  Please type name & today's date to acknowledge and submit request. *
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