PCG Leave Notification

Your Name*:

Your Email* (send yourself a copy of this request):

Subject: PCG Leave Request

Your supervisor:

Number of days you will be gone:

Date(s) or Hours you will be absent:

Type of leave requested:

PreplannedCover cancelled shiftCover missed shiftBereavement leave (Immediate Family)Bereavement leave (Other)Jury duty or legal leaveLeave without payOther:

Your Message:

If you have not been notified about the status of this request within 3 days please ask your supervisor.

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