Time Off Request Form

Time Off Request

Time Off must be approved by the Executive Director. Vacation time must be requested at least one week in advance. Personal time must be requested at least two business days in advance. Refer to the Employee Handbook for information on PTO.
Employee Name

First NameLast Name
E-mail
example@example.com
Start Date

MonthDayYear
End Date

MonthDayYear
Start to work on

MonthDayYear
Reason
Additional Comments
Should be Empty: