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Sick Leave Time Off Request
Please complete this form to request Sick Leave Time Off; this includes time taken for medical appointments for yourself or family members requiring your care.
NOTE: Completing this form does not assure approval of your request. Nick will provide you with a completed form signed by an executive authorizing compensation for Sick Leave Time.
First Name
*
Last Name
*
Email Address
*
Sign me up for email updates
*
Today's Date
*
Request Start Date
*
Request End Date
*
Time of Day Absent
Full Day
Half Day (AM)
Half Day (PM)
*
If unavailable, do you have secondary dates?
Comments
*
Doctor's Note
*
Submit
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Vacation Time Off Request
Please complete this form to request Vacation Time Off.
NOTE: Completing this form does not assure approval of your request. Nick will provide you with a completed form signed by an executive authorizing Vacation Time.
First Name
*
Last Name
*
Email Address
*
Sign me up for email updates
*
Today's Date
*
Request Start Date
*
Request End Date
*
Time of Day Absent
Full Day
Half Day (AM)
Half Day (PM)
*
If unavailable, do you have secondary dates?
Comments
*
Submit
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