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Time Off Request Form

Time off requests must be submitted three (3) weeks in advance of the date being requested. All requests are on a first come first serve basis. Business needs may prohibit request for time off to being approved. You will be notified by your director if your request has been approved.

Name *

Your Email *

Location *

Todays Date *

Start of Date Requested Off *

End of Date Requested Off *

Paid or Unpaid? *

Reason time off is needed: *

Director Signature
(after it is submitted)