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Request Form

This document is a vacation leave request form for an employee named B. Vishnu in the Help Desk department. The employee is requesting time off from July 11, 2025, to August 11, 2025, with a total of 15 days available for vacation. The form includes a section for supervisor and manager approval, as well as a clause regarding vacation overpayment deductions upon leaving the company.

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samuelruthland
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49 views1 page

Request Form

This document is a vacation leave request form for an employee named B. Vishnu in the Help Desk department. The employee is requesting time off from July 11, 2025, to August 11, 2025, with a total of 15 days available for vacation. The form includes a section for supervisor and manager approval, as well as a clause regarding vacation overpayment deductions upon leaving the company.

Uploaded by

samuelruthland
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Vacation Leave Request

EMPLOYEE NAME: EMPLOYEE ID #

Department/Division: Help Desk Location:


Minncourt
Supervisor: Hire/Seniority Date:

Month: Day Year

Annual Entitlement: 15 Days

Requested Time Off


# # Remaining
From: M/D/Y To: M/D/Y Week(s)/Day(s) Week(s)/Day(s) Entitlement
Already Used This Request (weeks/days)
07/11/2025 08/11/2025 0 15 0

Additional Information:

In the event that I have taken paid vacation prior to such time as it is earned and I leave the company for any reason, I
authorize the company to deduct the vacation overpayment from any and all monies paid to me on my final pay.

EMPLOYEE SIGNATURE: B. Vishnu


DATE OF REQUEST:

APPROVAL:

Supervisor:__________________________________ Date:______________________________

Branch/Dept
Manager:___________________________________ Date:______________________________

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