FBC Time off request

First Baptist Church Time Off Request Form

Leave must be approved by your supervisor, and then it goes to the Personnel Board
Request Date

MonthDayYear
Date
Employee Name (First and Last Name)
Email
example@example.com
Phone Number
Please enter a valid phone number.
Office Title
Request Type
Dates Requesting Off

MonthDayYear
Date
Date

MonthDayYear
Date
Date Returning

MonthDayYear
Date
Please enter your supervisor name & email.
Supervisor Info

First NameLast Name
Supervisor Infor
example@example.com
Employee Signature

Clear
Date*

MonthDayYear
Date
Supervisor and Personnel Committee complete below
Approved or Disapproved
Total Amount of Days
Total Amount of Days/ Hours Requested by Employee
If Disapproved, provide justification
Personnel Committee
Date

MonthDayYear
Date
I
107 Bishop Lane Elizabethtown, KY 42701
Should be Empty:

Please enter your supervisor name & email.