Vacation Request Form - Mason County Board Of Education

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VACATION REQUEST FORM
THIS FORM MUST BE ATTACHED TO TIMESHEET
Mason County Board of Education
1 Education Lane
Point Pleasant WV 25550
Employee Name: ______________________________________________________
Employee ID#: ________________________________________________________
Please choose your location
Location: _____________________________________________________________
Please enter date for each day you
Date: _______________________
Half Day_____ Full Day _____
are requesting.
_______________________
Half Day_____ Full Day _____
_______________________
Half Day_____ Full Day _____
_______________________
Half Day_____ Full Day _____
_______________________
Half Day_____ Full Day _____
Total Number of Full Days: __________Total Number of Half Days: __________
Employee Signature: __________________________________ Date: ____________
Approved By: ________________________________________ Date: ____________
Revised 10/6/2017

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