Employees Only, Inc. Vacation-Personal/convenience Day Request Form

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Employees Only, Inc.
Vacation-Personal/Convenience Day Request Form
Approved Supervisor:
yes
no
Date:________/_________/_______ Vac
Personal Day
Approved HR
:
yes
no
Employee
Start Date
:_________________________________________
: _______/_______/________
Department
:_________________________
End Date:
_______/_______/________
I am requesting the above dates for my vacation or Day for a Personal Day:
(An additional form is
needed for each additional vacation or personal/convenience day request.)
Supervisor’s Signature
Date
: _______________________________
: ________/______/______
HR Signature: _________________________ Date: ______/_____/_____
I understand that until both my Supervisor and the Human Resource Administrator sign this form, my vacation or
Personal/Convenience Day request is not approved.
Employee Signature
: ________________________________________
Copies to Employee and Employee File
Employees Only, Inc. Vacation-Personal/Convenience Request
Version 1998.0 PF-10
********************************************************************************************
Employees Only, Inc.
Vacation- Personal/Convenience Day Request Form
Approved Supervisor:
yes
no
Date: ________/_________/_______ Vac
Personal Day
Approved HR:
yes
no
Employee
Start Date
:_________________________________________
: _______/_______/________
Department
:_________________________
End Date:
_______/_______/________
I am requesting the above dates for my vacation or Day for a Personal Day:
(An additional form is
needed for each additional vacation or personal/convenience day request.)
Supervisor’s Signature
Date
: _______________________________
: ________/______/______
HR Signature: _________________________ Date: ______/_____/_____
I understand that until both my Supervisor and the Human Resource Administrator sign this form, my vacation or
Personal/Convenience Day request is not approved.
Employee Signature
: ________________________________________
Copies to Employee and Employee File
Employees Only, Inc. Vacation- Personal/Convenience Request
Version 1998.0 PF-10

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