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F106 - Leave Request
Leave requests are for correlative dates. Paid Time Off requests must be for full days.
1. Employee Name
*
2. Manager
*
3. Type of Leave
*
4. Amount
*
R1 - Unit
A
Days
B
Hours
5. Date
*
6. Add Start Date?
*
For another leave request (non correlative with the previous request).
R2 - Add Start Date?
A
Yes
B
No
12. Special Considerations
You can attach a medical certificate or any leave justification here
Click to choose a file or drag here
Submit