Human Resources: Vacation Request

Vacation Request Form

Employee: Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â

Employee Number:

Department: Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â

Supervisor: Â Â Â Â Â Â Â Â Â Â Â Â Â Â

Start Date	End Date	Total Days	Reason Code

Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â

Reason Codes:

V - Vacation Day Â Â Â Â

F - Floater Day Â Â Â Â

PL - Personal Leave Paid Â Â Â Â

PU - Personal Leave Unpaid

Employee Signature Â ________________________ Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â

Date Â _____________

Manager Signature Â Â Â ________________________ Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â

Date Â _____________

Â Â Â Â Â Â Â

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