Request for Temporary Absence for AFSCME Employees
You must fill this form out completely. Any request may be denied based on missing information.
Date of request:
Employee: Complete one form for each seperate request for time off. Fill out the form completely. Be as specific as possible.
Vacation Doctor Appointment Funeral Time Jury Service Military PDT Other: Please explain If other please explain
Period of Time Requested :
From / To:
I am returning my vacation days already approved:
Send me a copy of this message