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Vacation Request
Please complete this form to submit your vacation request at least 14 days prior to your first day of planned vacation. HR will contact you to follow up once your request has been reviewed.
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* Indicates required question
Today's Date
*
MM
/
DD
/
YYYY
Your Full Name
*
Your answer
Your Email Address (Optional)
Your answer
Your Phone Number (Optional)
Your answer
Last four digits of your SS#
*
Your answer
Department
*
Choose
06 Store
07 Drivers
08/30 Sacramento Warehouse
09 Sanitation
11 Office
12 Mechanics
13 Fleet Mechanics
14 Sales
15 QC
16 Plant Sanitation
21/22 Corn
24/25 flour
27/28/29 Chips
32 Warehouse Drivers
33 Warehouse
34 Loader
35 Security
First Date of Vacation
*
MM
/
DD
/
YYYY
Last Date of Vacation
*
MM
/
DD
/
YYYY
Total Number of Vacation hours/days to be paid
*
Your answer
Signature Required after Review
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