Request For Time Off

Request for Time Off

Bohl Companies
Please use the form below to create a new "Request For Time Off" form submission. Upon submitting this form, your supervisor will recieve an email with your request. Your manager with then review the submission accepting or denying the request. Once the request has been approved or denied you will be notified via email.
Supervisor Note - Please review the following "Request For Time Off" form submission. Please complete the the feilds shown in red below and click submit to approve/deny the Request For Time Off.

Employee Information
Employee Name*
Employee Email*
Please enter a valid bohlco.com email address.
Valid bohlco.com email address entered.
Supervisor*
Supervisor Email*
Line Items Needed For Request*

PTO Request - Line 1
Start Date*

MonthDayYear
End Date*

MonthDayYear
Total*
Days/Hours*
Reason Code*
PTO - Paid Time Off

CO - Call Off

B - Bereavement Leave

J - Jury Duty

FMLA - Family and Medical Leave Act
Paid/Unpaid*

PTO Request - Line 2
Start Date*

MonthDayYear
End Date*

MonthDayYear
Total*
Days/Hours*
Reason Code*
PTO - Paid Time Off

CO - Call Off

B - Bereavement Leave

J - Jury Duty

FMLA - Family and Medical Leave Act
Paid/Unpaid*

PTO Request - Line 3
Start Date*

MonthDayYear
End Date*

MonthDayYear
Total*
Days/Hours*
Reason Code*
PTO - Paid Time Off

CO - Call Off

B - Bereavement Leave

J - Jury Duty

FMLA - Family and Medical Leave Act
Paid/Unpaid*

PTO Request - Line 4
Start Date*

MonthDayYear
End Date*

MonthDayYear
Total*
Days/Hours*
Reason Code*
PTO - Paid Time Off

CO - Call Off

B - Bereavement Leave

J - Jury Duty

FMLA - Family and Medical Leave Act
Paid/Unpaid*

Bereavement Leave
Bereavement Leave - Name & Relation of Deceased:*

Employee Signature
Additional Notes To Supervisor
If requesting partial day(s) please specify time of day here
Employee Signature*

Clear
Date*

MonthDayYear

Submit Button
Should be Empty: