Request Time Off
Today's Date *
Today's Date
Name *
Name
Give us further details as to why you are requesting time off. For instance, if you selected "other" in the dropbox above, give us an explanation as to what that is.
Hourly Employees
NOTE: THIS ONLY APPLIES TO HOURLY EMPLOYEES. Check the box(es) below that indicate the categories in which you would like your hours missed to count towards.
NOTE: THIS ONLY APPLIES TO HOURLY EMPLOYEES. Based on your response to the previous question, how many hours would you like applied to each category? First, provide us with hours missed. Second, provide us with specific hours for your categories. ex: 8 hours = Floating (3) + Sick (5)