STAFF VACATION REQUESTYour submission will be noted and recorded when you submit this form. Name First Name Last Name Vacation Dates Requested * Date Returning To The Office * MM DD YYYY Total Number Of Work Days Being Requested: * 1 2 3 4 5 6 7 8 9 10 11 12 13 14 How Many Sundays Are Being Requested? 0 1 2 Type Of Leave * Vacation Sick Leave (illness or Injury) Working Day Away from the Office (Speaking at a conference/event) Bereavement Leave (Immediate Family) Bereavement (Other) Personal Leave Jury Duty or Leave Leave Maternal Leave Emergency Leave Temporary Leave Leave Without Pay Other Thank you!