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Please complete the form then click Submit for Approval.

Please review the form then click either Approve Request or Deny Request.

Your Name:
Your Email:
Your Department:
Your Supervisor:
Your Supervisor's Email:
Todays Date:
Type of leave requested: Personal Dependent
Request leave FROM:
Date Picker
Request leave TO:
Date Picker
Total Hours Requested: Vacation: Sick: Comp*:
*Non-Exempt Employees Only
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