Vacation Request

NEW ENGLAND ADJUSTMENT BUREAU

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- Requested time off is not approved until supervisor OK's it.
- For one day enter the same date in both the Start of Time Off field and End of Time off field.

NEAB Time Off Request

* Indicates required field

Agent Name *

First

Last

Start of Time Off (DD/MM/YYYY) *

End of Time Off (DD/MM/YYYY) *

ANYTHING ADDITIONAL TO ADD ABOUT YOUR SHIFT INCLUDING LESS THAN SERIOUS MATTERS THAT SHOULD ADMINISTRATION SHOULD BE AWARE OF.

Optional: reason for request. *

Submit

WE HAVE 3 LOT LOCATIONS - PLEASE BE SURE TO SPEAK WITH A MEMBER OF THE STAFF AND SCHEDULE AN APPOINTMENT BEFORE COMING TO ANY OF OUR LOTS.

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