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Our Selections
Our Farms
Why Heartland?
Media & Blog
Connect With Us
Order Now
Our Selections
Our Farms
Why Heartland?
Media & Blog
Connect With Us
Order Now
Time Off Request
Shannon Slattery
2021-05-13T22:21:25-04:00
Time off request
Your Name:
*
Leave Start Date:
*
Number Of Days Off Requested
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Other
Number Of Days Off Requested
Return To Work Date:
*
AM/PM/All Day
*
Full Day
Partial Day
Other
Other
Type Of Leave:
*
Vacation
Emergency leave
Temporary leave
Sick leave (Illness or Injury)
Bereavement leave (Immediate Family)
Bereavement leave (Other)
Jury duty or legal leave
Leave without pay
Other
Other
Is this request off less than 2 weeks notice? (Prior Approval from Manager Required.)
Yes
No
If answered yes above, who?
Notes/Comments-
Your Email Address For Copy of Form
*
Submit
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