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Time-Off Requests

Time-Off Requests

To request time-off from your scheduled work days, fill out and submit the form below.

Name

First Last

Email

Location

Nevada

Michigan

Primary Supervisor (NV)

Primary Supervisor (MI)

Type of Time-Off

Paid Time-Off

Unpaid Time-Off

Requested Day(s) Off - Start

MM slash DD slash YYYY

Requested Day(s) Off - End

MM slash DD slash YYYY

Requested Amount of PTO Hours

# of hours you're requesting to be paid for from your accumulated paid time-off (PTO).

Who Will Cover Your Obligations In Your Absence?

Other Details

Phone

This field is for validation purposes and should be left unchanged.

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