Paid Leave Request Paid Leave Request Your Name(Required) Your Email(Required) Type of Leave(Required)VacationSickBereavementFamily MedicalJury DutyMilitaryVolunteerReligious HolidaysFirst Day Out(Required) Month Day Year Last Date Out(Required) Month Day Year Total Number of Hours(Required)Supervisor(Required)Evelyn FrancisJohn TongBarbara WellsJonny Nuckols