Time Off Approval
Employee Name
*
First Name
Last Name
Department
Request Type
*
Vacation Time
Sick Time
Personal
Funeral/Bereavement
Jury Duty
Other
From
/
Month
/
Day
Year
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1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
To
/
Month
/
Day
Year
Date Picker Icon
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Utilizing (check one)
*
Accrued Benefit Time
Unpaid Time Off
Comment
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