Planned Absence Form

Time Off Request Form

Fill out this form to request time off for up to 4 days at once. Please give at least 2 weeks notice. Check Quickbooks Workforce to see your available PTO, and the Staff Portal for other benefits like medical leave/ holiday pay.
Your Name*

First NameLast Name
Your Classroom *
Your email *
For a copy of the form responses
Type of Absence *
Note: If you would like to use any PTO you have accrued by the time of your request, you must choose PTO here
How much PTO do you want to use?
Note: Admin will enter this to Quickbooks after your request is accepted and time off is used. If you leave this blank, it is assumed you will not be using PTO. Either write a number or say something like "use what I have in my PTO bank".
Reason for Absence*
How many days are you requesting (up to 4 per form)? Please fill out a new form for separate or longer trips.

1234
Day 1

Date and times for the first day you'd like to request off
Start (day 1)*

MonthDayYear
Date
Hour MinutesAM/PM Option
End (Day 1)*

MonthDayYear
Date
Hour MinutesAM/PM Option
Day 2

Date and times for the second day you'd like to request off
Start (day 2)

MonthDayYear
Date
Hour MinutesAM/PM Option
End (day 2)

MonthDayYear
Date
Hour MinutesAM/PM Option
Day 3

Date and times for the third day you'd like to request off
Start (day 3)

MonthDayYear
Date
Hour MinutesAM/PM Option
End (day 3)

MonthDayYear
Date
Hour MinutesAM/PM Option
Day 4

Date and times for the fourth day you'd like to request off
Start (day 4)

MonthDayYear
Date
Hour MinutesAM/PM Option
End (day 4)

MonthDayYear
Date
Hour MinutesAM/PM Option
Notes & Additional Comments
Let admin know if you are wiling to pick up hours lost or switch days with another employee
Should be Empty:

Time Off Request Form

Day 1

Day 2

Day 3

Day 4