Hourly, non-exempt employees must request leave in not less than Whole Hour Increments.

Salaried, exempt employees must request leave in not less than Whole Day increments.

Hourly, non-exempt employees must request leave in not less than Whole Hour Increments.

Salaried, exempt employees must request leave in not less than Whole Day increments.

Note: This form is NOT for FMLA/MFL eligible leave requests.

Ask the Payroll Dept. for the correct form.

I understand and agree that it is my responsibility to give my manager the completed Request for Leave for all planned leave not less than 2 weeks in advance of the start of the requested leave or as required by law or Company Policy. By my signature, I agree that all planned leaves must be requested in writing and that leaves are not approved until the request has been signed by my manager and submitted to the Payroll Department. I further understand and agree that leave may be granted, denied, or modified per Company Policy and business needs. I understand and agree that failure to obtain my manager's written approval prior to taking planned leave may result in disciplinary action up to an including discharge. I understand and agree that if I do not return to work on the above stated date, or contact my Employer regarding my failure to return, I will be considered to have voluntarily abandoned my job and my employment will be terminated effective as of the leave return date listed above. I have been advised by my manager, understand, and agree that his approval does not guarantee pay for requested leave and that leave, if paid, is subject to eligibility or as required by law or per Company Policy.