"*" indicates required fieldsEmployee Name*Montana BlackTiffannie BondCynthia HartnessJessica LavenderBobby LongGinger MeurerAmy PalmeriAlex RaffiDebi RaffiCelestia WardType of Absence Requested* Sick Vacation Comp Hours Bereavement Jury Duty Maternity/Paternity Military Leave Time Off Without Pay OtherEmail* Total number of hours requested*Dates of Absence: From:* To:* Comments