Employee request for cancellation of Scheduled Absence

Employees use this form to cancelled previously approved absences

Employee Name

Cancelled? *

Please cancel my previously approved time off request

Please cancel my duplicate entry

Begin Date *

mm/dd/yyyy

End Date *

mm/dd/yyyy

Partial Day? *

Yes

No

Hours Used *

By submitting this form, I acknowledge that I am cancelling a previously approved absence and I will report to work on this (these) days according to FD&O's normal procedure.

*

Send me a copy of my responses

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