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TIME-OFF REQUEST
MADOLE CONSTRUCTION | EMPLOYEE ABSENCE FORM
Employee & Request Details
Today's Date *
Employee Name *
-- Select Employee --
+ New Hire (Type Name)
Beginning Date *
Return to Work Date *
Time-Off Amount Requested *
Days
Hours
Reason for Request *
Vacation
Personal Leave
Funeral / Bereavement
Jury Duty
Family Reasons
Medical Leave
PTO
Other
Additional Notes / Reason Details
"I understand that this request is subject to approval by my employer."
Employee Signature (Sign Below) *
Clear Signature
EMAIL REQUEST TO MANAGEMENT:
Pam
Jack
Larry
Robert
Dave
Sean
Other...
Submit Time-Off Request