Time Off Request
Diamond Diva Empowerment Foundation
Employee Name
*
First Name
Middle Name
Last Name
E-mail
*
example@example.com
Contact Number
*
-
Area Code
Phone Number
Is this request for 1 day?
*
Yes
No
What day would you like off?
*
January
February
March
April
May
June
July
August
September
October
November
December
Month
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
2023
Year
What day will you return back to work?
*
January
February
March
April
May
June
July
August
September
October
November
December
Month
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
2023
Year
Reason
*
Please Select
PTO Request
Medical/Sick Leave
Time Off Without Pay
Other
Other Explanation: (Optional)
Submit
Should be Empty: