Panera

Ozark Breads, Inc.

Vacation Request
 
     
Store Nbr:  Location:   Emplyee Harvest: SSN:
     
First Name: Middle:
 Last Name:
 
Dates of Vacation
 


 
 From Date:
 
 To Date:

The undesigned employee acknowledges that this vacation request may be advance on wages or vacation accrual, and agrees that if employment is terminated before this advance or accrual is repaid, any unpaid or negative balance amount will be deducted from the employee's final wages with no further approval, other that this electronic signed document, required from the employee.

Approvals:
Employee Signature:
Date:  

 
 Department Manager/Supervisor Signature:
Date:  

 
 Operating Partner
Date: