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Get Floating Holiday 2003-2024

ST BE TURNED IN TO PAYROLL IMMEDIATELY PAY FOR TIME OFF WILL NOT BE ISSUED PRIOR TO PAYROLL RECEIVING THIS FORM. EMPLOYEE NAME: __________________________________________________________ LOC or DEPT: ______________________________ DATE: ___________________________ TYPE: (please check and fill out) ___ Sick Time Date(s) Sick Time Used ________________________ ____ Vacation ____ Floating Holiday(s) ____ Time off without pay _________ Hours Used _____ Jury Duty _____Bereavement Dates requested.

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