Time-Off Request | Advocare Senior Living

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Today’s Date

Employee Name

Beginning On

Ending On

Return to Work Date

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Reason for Request *

Vacation

Personal Leave

Funeral/Bereavement

Jury Duty

Medical Leave

Other

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Advocare Senior Living

225 Newman Avenue

Rumford, RI 02916

(401) 434-6727 tel.

(401) 434-6722 fax

© 2024 Advocare Senior Living

info@advocareseniorliving.com

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