Butler Sick Pay Request
Complete this form and your manager will receive an email to approve. You will get an email approving or denying your request.
Your Full Name
*
First Name
Last Name
Your Email
*
example@example.com
Select Your Manager
*
Please Select
Anna Thomas
Rod Childress
Sanja Tonning
Sean McDonough
Andy Szymanowski
Number of Days or Hours Requesting
*
EX: 2 days, 8 hours
Sick Pay Start Date
*
-
Month
-
Day
Year
Sick Pay End Date
*
-
Month
-
Day
Year
I understand my request is subject to the Managers approval.
*
Check here please
Save
Submit
Should be Empty: