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Time Off Request
Time Off Request Form
Please let us know as far out in advance as you can for any time off needed, Thank You!
Scientist Name
*
Email
*
Requesting Full Day(s) Off
Select your Date
*If requesting only 1 day off...
Requesting more than 1 day off?
Yes
Date Range:
Start Date
Select the start date of your time off:
End Date
Select the end date of your time off:
Type of Leave
Non-Paid Vacation Day
Paid Vacation Day
Other
Reason for Leave and any other information
Get Out Early or Start Late Requests
Do you need a request to "get out early" or "start late"?
Get out early
Start late
Date
Verification
Please enter any two digits
*
Example: 12
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please leave it blank
