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Request of Absence

Please complete the form below to give notification for absense. This includes (half and full days, personal time, vacation- 12 month employees only, etc.)

Last Name*

Answer Required

First Name*

Answer Required

Type of Leave*

Answer Required

If late, please provide your ETA

Answer Required

Have you secured approval for personal leave or vacation time from your Direct Supervisor?*

Answer Required

Yes

N/A

Number of Days Requested*

Answer Required

Absence Start Date*

Answer Required

Date of Return *

Answer Required

Confirmation Email

Confirmation Email *

Email Required