Time Off Request Form

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Time Off Request Form

This is only a request form, your request must be approved before you will have the requested time off. Request must be made by Monday the week before you want off, not the week of.

Este es solo un formulario de solicitud, su solicitud debe ser aprobada antes de que tenga el tiempo libre solicitado.La solicitud debe realizarse antes del lunes, la semana anterior a la fecha de salida, no la semana de.

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* Indicates required question

Name *

Your answer

Start Date of Time off Requested *

MM

/

DD

/

YYYY

End Date of Time off Requested *

MM

/

DD

/

YYYY

Reason for Time off

Your answer

Submit

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