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Employee Time Off Request Form

(At least 2 weeks notification of request is necessary to secure approval.)

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Employee Time Off Request Form

Laurel Care Inc. dba Senior Helpers BCS

IMPORTANT‼️ Use this form to submit your time off requests. Provide your name, the dates you wish to take off, and the reason for your request. All requests will be reviewed by your manager, and you will receive confirmation once your request has been approved. Please ensure you submit your request at least 2 weeks in advance to secure approval.

Email *

Today's Date *

Employee's Full Name (Print) *

Employee Time Off Request Form

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