Time Off Request

First name*

Last name*

Location*

Office

Shop

Operations

Type of Request*

Paid Vacation Time

Unpaid Time Off

Manager:*

Dates of Time Off from:*

Dates of Time Off to:*

Phone: 419-592 3861

Fax: 419-592-1537

O-154 Co Rd 11C

PO Box 840

Napoleon, OH 43545

VERNON NAGEL HEAD OFFICE

INQUIRIES

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Vernon Nagel, Inc. is an Equal Opportunity Employer.

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