Absence Request Form

You must submit requests for planned absences (e.g. vacation) four (4) weeks prior to the first day you will be absent.

First and Last Name*

Phone*

Email*

Absence Requested*

Date of Absence From: *

Date of Absence To: *

Hours if Less Than One Day

Manager's Name*

Comments

Signature*

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Building homes is a craft.

Building relationships is an art.

Building both is Birchwood.

8920 Moeller Drive, Harbor Springs, MI 49740

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