Requested Time Off
Manager will update form upon confirmation of request.
First and Last Name
*
Date of submission
*
First Day off Requested
-
Month
-
Day
Year
Date
Last Day off Requested
-
Month
-
Day
Year
Date
Total number of days requested off
*
Reason for requested time off
Manager Authorization
MURRAY MURPHY
TEEGAN MURPHY
CHAD KEMMER
TRAVIS ROE
CLINTON VANDERGAAG
CATLYN BROWN
Reason for not granting requested time off or altered request
Signature of Requester
Signature of Manager
Updated in TEAMS
Please Select
YES
NO
COMMENTS
Submit
Should be Empty: