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Please provide your time off request 2 weeks in advance unless an emergency.
Time Off Request
"
*
" indicates required fields
Employee Name
*
First
Last
Email
*
Phone Number
*
Start Date & Time
*
End Date & Time
*
Did you get approval from your manager for this time off request?
*
Yes
No
If your time off was approved, who approved it?
*
Reason for Time Off Request:
*
Vacation
Jury Duty
Doctor’s Appointment
Sickness
Other
Phone
This field is for validation purposes and should be left unchanged.
