Audit

CA CONTRACTORS LICENSE #665826

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EMPLOYEE TIME OFF REQUEST FORM

All requests should be emailed to Sarah@allbrightpainting.com for review/approval."

Employee Name:

Manager Name:

Type of Absence Requested (Check all that apply)

Sick

Military Leave

Vacation

Jury Duty

Bereavement

Maternity/Paternity

Time Off Without Pay

Time Off With Pay

From:
To:

Reason For Absence:

You must submit requests for absences, other than sick leave. For proper scheduling and staffing, all requests must be submitted two weeks prior to the first day you will be absent. * Based on prior requests and the time of year, some requests for time off may be denied.

Employee Signature
Today's Date:

All requests should be emailed to Sarah@allbrightpainting.com" for review/approval."

Manager Approval

Approved

Rejected

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.