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BID REQUEST
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TIME-OFF
REQUEST FORM
Please submit at least two weeks before requested time-off.
First Name
Last Name
Email
Other Reason:
Reason for Request
*
Vacation
Jury Duty
To Vote
Personal Leave
Family Reasons
Medical Leave
Funeral / Bereavement
Maternity / Paternity
Other
Beginning on
*
required
Ending on
*
required
# of Days or Hours
Note (optional)
I understand that this request is subject to approval by my employer.
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