Employee Request For Time Off

Employee Name*
- Bryan Babcock
- Wendi Counta
Reason For Time Off*
Time Off Start Date*
MM slash DD slash YYYY
Time Off End Date*
MM slash DD slash YYYY
Time Slots You Want Off (If Wanting a 1/2 Day)
- 8 am - 11 pm
- 11 pm - 2 pm
- 2 pm - 5 pm
How Many Days, if Any, Are Paid-Time-Off That You Want to Use?*
Notes
Additional Notes About Times You Want Off On These Days or PTO vs Non-PTO use

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