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Embed code for: 20161019144209TIME OF REQUEST
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TIME OF REQUEST
Employee Name: ___________________________ Date: ____________________
Date(s) Requested Off: ________________________________________________
Reason: ____________________________________________________________ _________________________________________________________________________________________________________________________________________________________________________________________________________
Who will be covering your position? ________________________________________________
Please check with us 1 week before your time off to ensure coverage has been assisgned.
Approved: Yes or No
Employee Signature: _________________________________________________
Supervisor Signature: ________________________________________________