<p> Request for Day off</p><p>I would like to request ______, ______, ______, 20____ Day of Week Month Day Year Off from work.</p><p>Circle that which applies: </p><p>Day/Half Day Doctor Appt./Personal Time Vacation Day/Other</p><p>______Employee Signature Date</p><p>Approved/Denied: ______Supervisor Signature Date Comments:______</p><p>Paid Time Off______Unpaid Time Off______</p><p>Request for Day off</p><p>I would like to request ______, ______, ______, 20____ Day of Week Month Day Year Off from work.</p><p>Circle that which applies: </p><p>Day/Half Day Doctor Appt./Personal Time Vacation Day/Other</p><p>______Employee Signature Date</p><p>Approved/Denied: ______Supervisor Signature Date Comments:______</p><p>Paid Time Off______Unpaid Time Off______</p>