Audit

REQUEST FOR TIME OFF

Name (Type here or use Sign function to write):

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Today's Date:

Day(s) Requested Off (Type here or use Sign function to write):

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Reason for Request (Type here or use Sign function to write):

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Other Information (Type here or use Sign function to write):

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APPROVALS
Division:
Select date
Trade:
Select date
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.