Management Vacation Form
Employee Name
*
First Name
Last Name
Start Date
*
-
Month
-
Day
Year
Date
End Date
*
-
Month
-
Day
Year
Date
Return Date
*
-
Month
-
Day
Year
Date
Department
*
Production
Converting
Sales
Shipping
Management
Administrative
Traffic
Compensation
*
Paid
Unpaid
# Of Days Off
*
Notes
*
*This section below is for the payroll department only*
The total gross wages earned for the previous 6-week pay period: $
6-Week average earning = $
Pay Date
-
Month
-
Day
Year
Date
Submit
Print Form
Should be Empty: