Leave of Absence/Vacation Request Form - Reversomatic

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LEAVE OF ABSENCE/VACATION REQUEST FORM
DATE:
NOTE:* Leave of Absence/Vacation request must be submitted four'{4) weeks in advance.
The undersigned requests leave of absence/vacation
From:
To:
OR
From:
To:
Reason for leave of absence/vacation:
Employee Name:
Employee Number:
Vacation Entitlement for Year:
Less Vacation Days Taken for year:
Number of days remaining for year:
Employee Signature:
Approved by: Plant Manager/ Manager?
Yes
No
Manager’s Signature:
Date of Approval:
270 Orenda Road, Brampton, ON Canada L6T 4X6 Tel: 905-457-6701 Fax: 905-450-6771
www.reversomatic.com
LEAVE OF ABSENCE/VACATION REQUEST FORM
DATE:
NOTE:* Leave of Absence/Vacation request must be submitted four'{4) weeks in advance.
The undersigned requests leave of absence/vacation
From:
To:
OR
From:
To:
Reason for leave of absence/vacation:
Employee Name:
Employee Number:
Vacation Entitlement for Year:
Less Vacation Days Taken for year:
Number of days remaining for year:
Employee Signature:
Approved by: Plant Manager/ Manager?
Yes
No
Manager’s Signature:
Date of Approval:
270 Orenda Road, Brampton, ON Canada L6T 4X6 Tel: 905-457-6701 Fax: 905-450-6771
www.reversomatic.com

Download Leave of Absence/Vacation Request Form - Reversomatic

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