F-393
(Revised 5/07)
Central Freight Lines, Inc.
Salaried Employee Request for Time Off
(excluding Leave of Absence Requests)
(Please Print or Type)
Employee Name: SS#:
Location & Department: ID#:
Date of Request:
Reason for Request: Vacation * * * Funeral Jury
I am requesting time off from and continuing through
(type or print Month, Day, Year)
, The total number of days being requested is/are .
(type or print Month, Day, Year)
I will return to work on ,
(type or print Month, Day, Year)
Employee Signature: Date:
______
(To be completed by Manager)
Request for Time Off: Approved Disapproved
Manager Signature: Date:
______
*** Vacation Payment Only ***
Authorized for payment: Manager Initials Date:
Send your request to the Payroll Department before the Friday of the Pay Period End in which the Vacation Time was taken. Payroll# 254-741-5256 / Fax# 254-741-5335