"Time off Request Form - Sodexo"

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Download "Time off Request Form - Sodexo"

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Time Off Request Form
This form is used when time away from work is requested.
A minimum of a two-week notice is needed.
Four week notice is needed for holidays.
Name:_________________________________________________________
List the shifts for each date being requested off.
If there is more than one shift per client, list separately.
Client’s Name
Date
Time of Shift
Coverage
(example 10am – 3pm)
(Office Use Only)
Do you wish to use vacation time: Yes / No How many hours? __________
Caregiver Signature:______________________________________________
Date:___________________________________________________________
Time Off Request Form
This form is used when time away from work is requested.
A minimum of a two-week notice is needed.
Four week notice is needed for holidays.
Name:_________________________________________________________
List the shifts for each date being requested off.
If there is more than one shift per client, list separately.
Client’s Name
Date
Time of Shift
Coverage
(example 10am – 3pm)
(Office Use Only)
Do you wish to use vacation time: Yes / No How many hours? __________
Caregiver Signature:______________________________________________
Date:___________________________________________________________