FLINT HILLS MOVING

Employee Name *

First Name

Last Name

Starting Date Requested Off *

MM

DD

YYYY

Ending Date Requested Off *

MM

DD

YYYY

I UNDERSTAND AND AGREE TO ALL CONDITIONS BELOW *

1) All dates off must be requested at least 14 days before the day off. 2) Days off can only be granted by management. 3) I understand that completing this form does not guarantee that I will be granted days off. I further understand that if my days off are not approved I must be available to work. 4) Employee is responsible for following up on day off requests and ensuring that approval has been made. 5) Approval of days off will only come in written response (via email) from submission of this form. No other methods (e.g. verbal requests) will be honored.

I UNDERSTAND AND AGREE TO ALL CONDITIONS