Time-Off Request Form

• Time-Off requests must be submitted 7 days in advance.
• Finding coverage for you shift will improve the likelihood of approval
• Time off requests may be approved / denied at the manager’s discretion. Approval / denial will be based on prior requests from yourself and other employees and available coverage

• Black Out dates are Memorial Day Weekend, July 4th, and Labor Day Weekend. We will not be accepting time off requests for these days.

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    Electronic submission of this document will act in lieu of a signature and employee statement that all above information is correct