Employee Holiday Leave Request

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