APPENDIX C

   VILLAGE OF ORLAND HILLS VACATION REQUEST FORM

Date:   

Employee:   

Department:

Dates Requested   

Total Number of Vacation Days Available   

Total Number of Vacation Days Requested   

Total Number of Vacation Days Remaining   

Employee Signature   

Supervisor Approval:    

Supervisor Denial:   

Copies:   Finance

      Department

      Employee

(Ord. 89-09, passed 4-12-89)