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Employee Holiday Leave Request
1
Name
*
This field is required.
First Name
Last Name
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2
Preferred E-mail for confirmation of leave approved
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3
Reason for Leave
Holiday/Break
Medical Appoint (Try to avoid working hours)
compassionate Leave
Other
Holiday/Break
Medical Appoint (Try to avoid working hours)
compassionate Leave
Other
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4
Type Off Time
Full Days Leave
Half Day Leave
Start Late Finish late (input in notes below)
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5
1ST Day Of Leave
-
Date
Day
Month
Year
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6
2nd Day Of Leave
-
Date
Day
Month
Year
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7
Date you will return to work
*
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-
Date
Day
Month
Year
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8
Any additional notes you may want to add.
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Should be Empty:
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