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Personal Time off Request
Please complete the following form for 1 (one) day time off requests.
For vacation time requests please return the employee portal and select the corresponding form.
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* Indicates required question
Employee First & Last Name
*
Your answer
Employee Type
*
Office Staff
Service Technician
Install Technician
Date of absence
*
MM
/
DD
/
YYYY
AM/PM/All day
*
AM
PM
Full day
Type of leave
*
Sick leave (Illness or Injury)
Bereavement leave (Family Emergency)
Personal leave
Jury duty or legal leave
Other:
Thank you
This form will be sent to your direct manager for approval.
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