Time Off Request Form

Instructions: Use this Time Off Request Form to request scheduled or unscheduled Time Off.
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This form should be submitted in advance of scheduled time off to your supervisor with at least 1 month notice. This form must be approved and signed by your supervisor and submitted to Human Resources prior to your time off.
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Submit to: Reem Badwey (Reem.Badwey@1st-americare.com) 202-993-4049 Tiger Carrasco (Tiger.Carrasco@1st-americare.com) 240-204-2004 Mary Winston (Mary.Winston@1st-americare.com) 240-507-4411