Time Off Request
Days Off / In Late / Off Early / Appointments
Name
*
First Name
Last Name
Start Date
*
-
Month
-
Day
Year
Date
End Date
*
-
Month
-
Day
Year
If time off is only one day - use same date
Details of Time Off Request
*
Examples: Need to leave at 3pm or have an appointment at 11am and will be back
Do you want to utilize PTO time (if available) or No PTO?
*
Please Select
Use PTO, if available
Do not use PTO
Excused absence - Will supply a note
IMPORTANT / READ:
Any requests submitted through this form MUST be approved by Management prior to taking off. You will receive a phone call or text from Management with approval/denial within 24 hours.
Submit
Should be Empty: