VACATION CARRYOVER REQUEST FORM
Date:
Name:
Department:
Union:
Current Yearly Vacation Entitlement in Weeks: 1 2 3 4 5
I am requesting carryover of vacation days from the year _.
Department Head: Date _
Human Resources Director: Date
APPROVE
DISAPPROVE
Union President: Date _
(Return forms to the Personnel Department no Later than December 1
st
)
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