Day Off Request Form
Name
First Name
Last Name
Department
Please Select
Server
Kitchen
Actor
Front Desk
Bar
Location
RigaTony's
Wild West
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Start of Requested Time Off
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
End of Requested Time Off
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for the day-off
**IF MANAGER** who is covering your shift?
PTO
I will be using PTO
I will not be using PTO
Other
If other, explain:
Signature of the Employee
Submit
Should be Empty: