Administrative Vacation Request & Report
Name: ________________________________________________________ ID: _____________________
Date(s) _____________________________ _________________________
_____________________________ _________________________
_____________________________ _________________________
# of Days
Requested
Vacation hours paid before earned will be deducted from my final paycheck in accordance with policy.
____________________________________________________ ___________________
____________________________________________________ ___________________
Employee Signature
Supervisor Approval
Date
Please return completed form to Payroll in McKean House
Date
click to sign
signature
click to edit
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