Blackstone Time Off Request
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Recipient email
Date Submitted
Department
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Design Team
Production Team
Employee Name
Employee Email (optional)
Reason for Request
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Vacation
Personal Leave
Funeral/Bereavement
Jury Duty
Family Reasons
Medical Leave
Other
Other reason (text)
Additional Notes (optional)
Start Date
End Date
Total Days (auto)
Partial Day Off From (optional)
Partial Day Off To (optional)
Request Type (auto)
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PDF:
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