Employee Vacation Time Request Form

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EMPLOYEE VACATION TIME
REQUEST FORM
Employee’s Name
Date:
School Assigned:
Position:
_
Vacation Entitlement Remaining Days:
Regulations:
1. An employee should arrange his/her vacation schedule with his/her principal/supervisor.
2. Requests should normally be made at least a week in advance of this desired vacation
period.
3. An employee should report to his/her principal/supervisor the day following his/her
vacation period so that accurate records can be maintained.
4. If possible, the employee should list his/her vacation address and phone number, or a
person to contact in case of an emergency.
Vacation Dates Requested (please list each date separately):
Total Days Requested:
Comments:
Vacation Address or Emergency Contact:
Action Taken:
Approved
Denied:
Principal/Supervisor
Date:
Comments:
Superintendent
Date:
Comments:

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