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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. Siloe Construction
  2. Rick's Computer Repair
  3. RER
  4. Chautauqua Tourist

Time Off Request Form

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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: ___/___/_____

Business Network Members
  1. Adrians Carpets
  2. Real Pro Management, Inc
  3. Exclusive Cleaning Co, Inc
  4. Pearls Daycare

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