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Out of the Office Form
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Name:
Email:
Department:
Purpose of Request:
Vacation
Sick Leave
Furlough
Business (make sure to fill in description below)
Information:
Phone Number at which you can be reached. List Business Trip Details if applicable. (Name and Location of Conference, Hotel Name and Number, etc.)
Total Number of Days:
(Whole and Half)
Start Date:
End Date:
Refer to this person for matters relating to my areas of responsibility while I am away:
Name:
Email:
Phone Number:
Additional Comments:
