Time Off Request -Andrew
Time Off Request-Andrew

TYPE OF REQUEST

Time of Arrival
:
Time of Departure
:

REASON FOR TIME OFF

DATES REQUESTED

Do Not combine time off requests between pay periods(28th-12th & 13th-27th) Time off requests should be taken in one hour increments.

EMPLOYEE SIGNATURE

MANAGER APPROVAL SECTION | DO NOT USE

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HR-4444-F Time Off Request Form