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Office Mound Time Off Request Form
*
Indicates required field
Name
*
First
Last
Email
*
Dates requested off
*
How many actual work days will you be missing?
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
How many vacation hours will you be using?
*
How many sick hours did you use?
*
Reason for absence
*
Submit