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Personal and Vacation Days Request Form

I request time off on the following dates _______ PERSONAL DAYS ON THE FOLLOWING DATES: __________________ TO _____________________ _______ VACATION DAYS ON THE FOLLOWING DATES: __________________ TO _____________________

PREVIOUSLY APPROVED VACATION/PERSONAL DAYS NOT YET TAKEN: _____________________________________________________

APPROVAL: SUPERVISOR __________________________________ __________________________________ __________________________________ PLEASE DO NOT MAKE ANY PLANS UNTIL MANAGEMENT GRANTS YOUR REQUEST. THE COMPANY RESERVES THE RIGHT TO DENY REQUESTS BASED ON BUSINESS NEEDS.

HFLEV031

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