v

LEAVE REQUEST:
List ALL of your leave requests for the period from April 1, 2011 through January 6, 2012.
Use a separate line for requests that fall within separate payroll weeks. Payroll weeks run Saturday
through Friday.
This form will be returned to you, indicating approval or disapproval for each of the dates you
requested leave, so that your requests can be entered into ESS. Note: no leave is officially approved
until an electronic request is entered by the employee and approved by a supervisor in SAP.
.
Leave is approved based on the premise that you have either an available or an anticipated leave
.quota to fover the absence. (Ill's cannot anticipate leave).
_
NAME

LEAVE
CODE

I.L,."":\)
HOURS

I've;-

&/15

15"

.,/-,

".-,.'-)
I
=t

CHot)O

(J

t..//u

Jl
A
A
A
A
!.............;~

I.~

TIME

0,,00

7,<;- ~/~\

f.:,

c:9 <':>00
c) (000

-, Jll

OCooO
,

,<)

91~

C)CoOO

jO}11

C?~()O

,..-

7.~
---:~;"-I_._~--
--=-...:.:-.-.=--

It

1,0

:>

EMPLOYEE#
S)''5'S'r3sIGNATURP::

LEAVE
BEGIN
DATE

7~ 5/Zi

fJ.
It

RI;;;ss~

C) foOO

LEAVE
END
DATE

TIME

5/2..7

1400

e:;/3\

i'{()U

fL,J

,~\) 0

{o

~/~

r'1 o C

7/'6

\'-i"O

,Iii

It

/J

iUJ voJ.e.~

-Y'

laMlIM

V\JrJ..
..

v ,
;1.PQ
f"DIJi);I(n

--V-,
ill

a..Jll)V'o

' I
riA.lJ\
YQ\.J.Q

,d

v ,

rlMvrrw -,

\,-(0 Q

I I
/) ..k)J)1Ir)UQc.

l~ C) t)

-!_....:..:.~--=--.o.:...=

/'I.L\ Y'lvtli)~

t'-(oO

/,0
=-~--=--__

~r==-~_--=---:....:::_--==-~.=-=::-~~~_._=I~.....=...:...___

~j'\tJ-O"l )

t')
fI

\~()o

9/<"
lull

APPROVED/DISAPPROVED

.)

-- !-. I~.~._.---.-. ... ___

.._ _..
______________
.
--.- -----,,-~--.--=-----:-~-.~-.---::-=---.
-.- ..- ----,---. ~.

Approving Authority Sjgnatu~~~'AN\

M\R\\-1 1lflAA

Da~)irt/J
r

}
.