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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
B

5. Date

6. Add Start Date?

For another leave request (non correlative with the previous request).
R2 - Add Start Date?
A
B

12. Special Considerations

You can attach a medical certificate or any leave justification here