Vacation/Sick Leave Requests VACATION REQUEST Name * First Name Last Name Today's Date * MM DD YYYY Start Date * MM DD YYYY End Date * MM DD YYYY Comments # of Vacation Days Requested * # of Vacation Days Available (Prior to Request) Thank you! Your request will be processed and you’ll receive word on approval. SICK LEAVE Name * First Name Last Name Today's Date * MM DD YYYY Start Date * MM DD YYYY End Date * MM DD YYYY Comments # of Sick Days Used * Thank you! Your request will be processed and you’ll receive word on approval.
