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Time Off Requst Form

Have your employees fill out this time off request form for them to receive approval to take time off from work.






Business Network Members
  1. Nash Mechanical
  2. Veterans Home Improvement
  3. Campus Protein
  4. Go Jute USA






Time Off Request Form

Word   PDF  



Time Off Request


Please Check One:

[__] Vacation

[__] Personal Holiday

[__] Sick Leave

[__] FMLA

[__] Leave w/o Pay

[__] Summer Leave

[__] Other

Other: _____________________________

____________________________________

____________________________________

Name: ______________________________

Date Submitted: ____/____/_____

Total Number of Days Requested: _____

Starting Date: ___/___/_____

Return to Work: ___/___/_____


Approved By: _______________________Date: ___/___/_____









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