37 Trucking Time Off Request Form
Employee LEGAL Name
*
First Name
Last Name
REQUEST for APPROVAL
Type
*
Vacation
Time Off Without Pay
Jury Duty (MUST PROVIDE DOCUMENTATION)
Bereavement (MUST PROVIDE DOCUMENTATION)
Beginning On
*
-
Month
-
Day
Year
Date
Return to Work On
*
-
Month
-
Day
Year
Date
Total Hours Requested
*
*8 hours max per day, 4 hour increments only
Comments (optional)
Email
*
example@example.com
Date of Request
*
-
Month
-
Day
Year
Date
I understand that time away from work is subject to management approval and company policies.
Employee Signature
*
Approval Status
Please Select
Approved
Denied
Approved By
Approval Notes
Submit
Should be Empty: