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VACATION CASH OUT PAYMENT REQUEST Number Of Accrued Annual Leave Hours To Cash Out: _____ (Hours) Requested Pay Date (refer To The Attached Bi-weekly Payroll Schedule, Column C): _____ CERTIFICATION This Form Serves As My Formal Request To Have The Specified Annual Leave Hours Paid Out On The Date Indicated Above. I Understand That My Leave Balances Will Be Decreased By The Number Of Hours I ... May 1th, 2024

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