Time Off Request
Name
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
*
example@example.com
Location you work at
*
Team Leader Email
*
example@example.com
Date
-
Month
-
Day
Year
Date
Date
-
Month
-
Day
Year
Date
Date
-
Month
-
Day
Year
Date
Date
-
Month
-
Day
Year
Date
How would you like to be paid?
*
Stat
Vacation
Banked Overtime
Notes:
Submit
Should be Empty: