Truro Police Department

administrative time off request

 

Employee Information  
Employee Name     Division Date Submitted

                         

 

Type of Absence Requested  

                         Vacation/Holiday                    Maternity/Paternity                   Family Medical Leave                 Military

                         Sick Day                                Bereavement                            Other    

                  Reason for Sick Day Request

                    

 

Date(s)

 

Day(s)

Shift(s)

 

Jury Duty Request  
Jury Duty          Date Of Jury Service             
Copy of attendance form must be forwarded to Chief within 30 days from jury service

 

 

Comments  

 

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