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Time Off Request Form


    Please note:

    • All time off is subject to the approval of the Executive Director. Please await approval and confirmation before taking time off.

    Required Fields *

    Employee Information

    First Name *
    Last Name *
    Telephone *
    Email Address *
    Start Date *

    From Time *
    End Date *

    To Time *
    Number Days Off Requested *
    Type of Time Off *
    Comments *




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