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Peak Employee:
TIME OFF REQUEST

Time Off Request Form (1.5.24)

Completed time off request forms will be reviewed by admin prior to approval.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.
Please Select One:*
*Not including Weekend Days

I understand that time away from work is subject to approval. I further understand that if I do not have leave accrued, I will not be paid for the absence.

USE AVAILABLE LEAVE*
LEAVE WITHOUT PAY*
Clear Signature

REQUEST IS: Approved / Denied

Admin will respond accordingly.

Link to Time Off Request on Google Forms