Request for Leave

If you wish to use five consecutive annual leave days for the Office of the Controller's Mandatory Leave Disconnect, please notify Veronica Appleby and Tricia Galiano one week prior to the start of the annual leave.

Your Name: Your Supervisor:

Leave #: 1 From: To:
Reason
Leave #: 2 From: To:
Reason
Leave #: 3 From: To:
Reason
Leave #: 4 From: To:
Reason
Leave #: 5 From: To:
Reason