2023-24 TRANSPORTATION LEAVE REQUEST
LEAVE REQUEST
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Email *
EMPLOYEE NAME:  *
TODAY'S DATE: *
MM
/
DD
/
YYYY
LEAVE DATE: *
MM
/
DD
/
YYYY
LEAVE SHIFT REQUESTING OFF *
PURPOSE FOR LEAVE: *
Starting Date & Ending Date (if multiple days needed)
SUPERVISOR ONLY: DETERMINATION CODE
Your bus must be available for your morning and afternoon routes on your days off.
A copy of your responses will be emailed to the address you provided.
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