📄 Extracted Text (165 words)
LSJE,LLC
6100 Red Hook Quarters, Suite B-3, St. Thomas, VI 00802-1348
Phone: E-mail:
Vacation/Leave Form
Cuthbert Titre
Name: Cell:
Division/Department: Phone (other)
Date Request Submitted: 12/17/18 E-mail:
Dates of Vacation/Leave Requested:
Date of Vacation/Leave to Begin: 101/02/19 Date of Return to Work 01/07/18
Number of employees in your division/department expected to be absent during your requested vacation/leave?*
For internal use only:
Total Number of Days Away: Number of vacation days permitted annually:
Number of vacation days used year-to-date:
Vacation with Pay: 3
Number of vacation days granted per this request:
Leave without Pay:
Number of vacation days remaining after this request:
Personal/Sick Days:
■
Holidays:
Number of medical days permitted annually:
Weekend Days:
Number of medical days used year-to-date:
Other:"
■
Number of medical days granted per this request:
Total Days Away: I5 I
Number of medical days remaining after this request:
"If 'Other,' please explain:
Employee Signature: Date:
Authorization: Approval Date:
•Areas indicatedmust be verified with the supervisor before vacation/leave will be approved.
EFTA01223545
ℹ️ Document Details
SHA-256
83b8e2066fe51b75c0c5f9b5b39d17a709bf925d33dd870cc9b1299544cef5d0
Bates Number
EFTA01223545
Dataset
DataSet-9
Document Type
document
Pages
1
Comments 0