TIME OFF
REQUEST FORM
Use this
form to request time off for vacation, sick or holiday.
Agency
Holidays
Thursday January
1, 2009 New
Year’s Day
Monday January
19, 2009 Martin
Luther King Day
Monday February
16, 2009 President’s
Day
Monday May
25, 2009 Memorial
Day
Friday July
3, 2009 Independence
Day
Monday September
7, 2009 Labor
Day
Thursday November
26, 2009 Thanksgiving
Day
Friday November
27, 2009 Day
after Thanksgiving
Friday December
25, 2009 Christmas
Day
Date(s)
requested off:__________________________________________________
_____________________________________________________________________
Requested
by__________________________________
Date__________________
Approved
by____________________________________Date__________________
