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 *
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
Additional Comments (optional):
Should be Empty:

Time Off Request Form