Day Off Request

Day Off Request

Please submit your time off requests here for approval from your supervisor.
Name*

First NameLast Name
Supervisor*
Supervisor email
Your Email*
This is the email address your supervisor will respond to your request at.
Full-timePart-timeSeasonal
Seasonal employees do not need to fill out this form. Please update your availability in Nowsta. If you have questions about how to update your availability as a seasonal employee, please contact your supervisor or HR.
Start Date*

MonthDayYear
Day your leave starts.
End Date*

MonthDayYear
Last day of your leave, return to work the following day.
Paid time offSchedule adjustment (switching shifts for the week - requesting certain days off but still working a full week - NO paid time off used)Unpaid time off (not enough PTO accrued for the entirety of the request)
Enter the total number of hours of PTO you would like to use for this request.*
Please note: If you request more time off than your available accrual balance, only the maximum amount available will be applied to this request. You can view your current accrual balance on your pay stub or in Paylocity under Time Off.
Notes:
If you have more than one request, please press submit, refresh, and then enter a new form.
Start Date

MonthDayYear
Day your leave starts.
End Date

MonthDayYear
Last day of your leave, return to work the following day.
Notes:
Start Date

MonthDayYear
Day your leave starts.
End Date

MonthDayYear
Last day of your leave, return to work the following day.
Notes:
Start Date

MonthDayYear
Day your leave starts.
End Date

MonthDayYear
Last day of your leave, return to work the following day.
Notes:
Should be Empty: