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REQUEST FOR TIME OFF NOTE: All vacation requests must be submitted at least a week prior to the date requested Vacation request will be granted based on the workload of the company.

Employee Name: Location: Dates Requested Off: Vacation

to Sick Days

Reason for Request:

Date:

EMPLOYEE SIGNATURE

ALACK – North Shore 17420 Highway 190 Hammond, LA 70401 (985) 345-9476

SRE – Sarasota 5330 Pinkney Ave. Bldg. C Sarasota, FL 34233 (941) 924-1410

SUPERVISOR SIGNATURE

SRE – Fort Myers 1962 Honda Dr. Fort Myers, FL 33907 (239) 226-4555

LOTZ – New Orleans 5133 River Rd. Harahan, LA 70123 (504) 733-3790


request-for-time-off