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Time Off Request
Pleae fill in the form below. All time off requests must be approved and signed by Bentley or Matt for approval. Thank you.
Name:
*
Date
*
+
Email Address
🛈
Email verification
🛈
Enter your Phone Number
Location:
*
Amarillo
Garden City
Start Date
*
+
End Date
+
Time off Requested for:
*
Dr. Appt.
DMV/DOT Business
Vacation
Personal Business
Jury Duty
Schedule DOT Physical
Other
Other
DOT Physical expires:
+
Appointment Time
*
Morning Appt. In by Noon
Afternoon Appt. off by Noon
All Day Appointment
Other - enter times in comment field below
Other - enter times in comment field below
Additional Comments: