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Leave Request
Please use this form to request Sick or Vacation Leave
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* Indicates required question
Name:
*
Your answer
Type of Leave
*
Choose
Sick
Vacation
Total Hours Requested
*
Your answer
Start Date of Leave
*
MM
/
DD
/
YYYY
End Date of Leave
*
MM
/
DD
/
YYYY
If Partial Day, Morning or Afternoon?
Morning
Afternoon
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Reason for Request of Leave
*
Your answer
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