LSJ, LLC
6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802-1348
E-mail:
Vacation / Leave Form
Name:
Date of Request: 11/27/11
Dates ofRequested:
Date of First Day of Vacation: December 12th, 2011 Date Return to Work: December 19th, 2011
Total Number of Days:
Leave Days: 2 i Weekend Days: 2 Holidays: 3 Personal / Sick: Days Remaing: 58 days
Type ofLeave:
C Vacation with Pay C Leave without pay r Personal Sick Leave Other
If Other Explain: Holidays - Labor Day, Thanksgiving Day, Thanksgiving Friday
List ofall contact information:
Phone:
Cell:
Email:
The following must be verified with Estate Manager
1. The number of vacation days you have taken.
2. The number employee in your division / department that are leave at the same time
Approved:
EFTA00305862
LSJ, LLC
6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802-1348 Tel: 340-775-8100 Fax: 340-775-8108
E-mail:
Vacation / Leave Form
Name:
Date of Request: 11/27/11
Dates ofRequested:
Date of First Day of Vacation: December 12th, 2011 Date Return to Work: December 19th, 2011
Total Number of Days:
Leave Days: 2 Weekend Days: 2 Holidays: 3 Personal / Sick: Days Remising: 60 days
Type ofLeave:
r Vacation with Pay C' Leave without pay r Personal Sick Leave C Other
If Other Explain: Holidays - Labor Day, Thanksgiving Day, Thanksgiving Friday
List ofall contact information:
Phone:
Cell:
Email:
The following must be verified with Estate Manager
1. The number of vacation days you have taken.
2. The number employee in your division / department that are leave at the same time
Approved:
EFTA00305863