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Get Ct W-643a 2004-2024

TING CODE* Date(s) VACATION VAC VS PERSONAL LEAVE PL PLSK SICK LEAVE SP SFNRL SFAM SPR SICK SFFNR Total Hours Not at Work Time of Day Not at Work OTHER (specify): EMPLOYEE'S SIGNATURE: APPROVED / DISAPPROVED (Circle One) Supervisor's Signature Date IF APPROVED, A COPY OF THIS FORM MUST BE ATTACHED TO AND SUBMITTED WITH THE BIWEEKLY TIME SHEET Reason (If Disapproved): Too many vacation requests for the same period Other employees have seniority Other To expedite a decision on.

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