LOA/ROA Request Template

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Community Manager of Atomic Networks
Staff member
Sep 14, 2020
United States
What is your in-game name?:

What is your current time on the server?:

What is your username in Discord (with 4 #s):

What is your timezone?

How long are you expecting to be on leave?:

When will you begin your leave?:

When will you return from your leave?:

Will you be able to be contacted via discord on a device during your leave?

Are you a part of the Forum Moderation Team? (and if you are will you be able to keep up with those duties?)

If you aren't able to be contacted, do you acknowledge that you must return by your return from leave date?

Optional: If you would like to detail a reason for your leave, put it here.
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