Time Off Request

Time Off Request
Your request for time off must be submitted and approved by management in advance.
Employee Name*

First NameLast Name
Employee Email*
example@example.com
Number of Days Requested*
Starting On*

MonthDayYear
Date
Return to Work On*

MonthDayYear
Date
Type of Request (check reason for your request)*

VacationSickFuneral/Bereavement LeaveJury DutyFamily/Medical Leave
Comments
Supervisor Email*
Supervisor Email*
example@example.com
By submitting this request, I understand that time away from work is subject to management approval and company policies.
Should be Empty: