Manager Vacation Request

Date Of Request*
MM slash DD slash YYYY
Employee Identification*
First Last TC#
Store*
Type of Absense Requested*
- Sick
- Vacation
- Military
- Jury Duty
- Bereavement
- Maternity/ Paternity
- Time Off Without Pay
Dates of Absense*
MM slash DD slash YYYY
To*
MM slash DD slash YYYY
Reason for absence?
Employee Signature
First Last
Signature
- Please select this box to sign