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Sacramento START Time-Off Notification . TIME-OFF REQUEST FORM NAME: ________________________________________ EMAIL ADDRESS : ________________________________________ SITE : ________________________________________

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Sacramento start time off notification
Sacramento STARTTime-Off Notification

TIME-OFF REQUEST FORM

NAME: ________________________________________

EMAIL ADDRESS:________________________________________

SITE: ________________________________________

POSITION: _______________________________________

CONTACT NUMBER: _______________________________________

REASON FOR REQUEST: ________________________________________

REQUESTED DATES: ________________________________________

Request Steps: Field Staff

Staff Member Request – complete the time off request form & submit for approval

Site Director Authorization – complete approval section for time off request & submit with payroll

Sub Coordinator Authorization – complete approval for Sub Request & contact sub staff

Program Supervisor Authorization – complete approval for time off request & provide copy for site staff

Be Advised: All Requests must be submitted 2 weeks in advance, including Mandatory Trainings!

AUTHORIZATION

SITE DIRECTOR: X__________________________________

APPROVAL: _____Yes _____ No Date: __________

COMMENTS: __________________________________________________________________

SUBSTITUTE COORDINATOR: X__________________________________

SUB ASSIGNED: _____Yes _____ No Date: __________

COMMENTS: __________________________________________________________________

PROGRAM SUPERVISOR: X__________________________________

APPROVAL: _____Yes _____ No Date: __________

COMMENTS: __________________________________________________________________

2013-14


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