Time Off Request
DO NOT USE THIS FORM IF ARE YOU ARE GOING TO MISS YOUR NEXT SCHEDULED SHIFT - USE THE LAST MINUTE ABSENCE NOTIFICATION FORM.
What type of time-off are you requesting
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Sick Leave
Personal Time Off
Use this form to request future Time Off. Please allow up to (5) five business days for a response. This submission is a request only; approval is not guaranteed. You will be notified of the decision at the email provided below. If requested time off for Sick Leave, the employee must make a reasonable effort to give advance notice. The employee must make a reasonable effort to schedule use of earned sick leave in a way that does not disrupt the operations of the employer. When the need to use earned sick leave is not foreseeable, the employee must notify the employer as soon as practicable.
Time Off Expectations
In most cases, (1) no more than FIVE consecutive days will be considered for approval (2) Requested Time Off is not authorized until approved. (3) Your previous requests for Time Off, existing requests by others for the same date(s), total hours worked since your last time off request, and production deadlines may affect approval.
Today's Date
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Month
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Day
Year
Date
Name
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First Name
Last Name
E-mail
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example@example.com
First Date of Requested Time Off
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Month
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Day
Year
Date
Return to Work Date
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Month
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Day
Year
Date
Please describe the reason for your requested time off:
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Submit Feedback
Should be Empty: