Time Off Reporting Form
Time Off taken during the preceding week
Your Name
*
Your Email Address
*
Time Off Start Date
*
Time Off End Date:
*
Type of Time Off
*
Vacation Time
Sick & Personal Time
Bereavement
Jury Duty
Other
Total Hours Used - Please deduct from my Available Time Off Balance in Payroll System
*
Notes/Comments
Please add additional information, if any. Thanks!
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