Employee Time Off Request
All requests must be submitted 48 hours prior to time requested. Vacation time must be submitted 14 days prior to request date or it will be denied.
Employee Name
First Name
Middle Name
Last Name
E-mail
Contact Number
-
Area Code
Phone Number
Manager
*
Cynthia DuPlessis - Office/Admin
Patrick Hamilton - Tower
John Hernandez - Centric
David Romain - PMs use this
Please select your manager
Start Date
*
Please select a month
January
February
March
April
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December
Month
Please select a day
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Day
Please select a year
2023
2022
Year
End Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
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Day
Please select a year
2023
2022
Year
Start to work on
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
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5
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Day
Please select a year
2023
2022
Year
Reason
*
Please Select
Vacation
Personal Leave
Sick
Appointment
Others
Additional Comments
Submit
Should be Empty: