Mandate Excusal Form
Use this form for a one day excusal from the possability for being mandated to stay for overtime.
Employee Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date for excusal
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for excusal
Signature
Submit
Should be Empty: