Time Off Request
All time off requests are now submitted through Paylocity. Please submit there.
Location
*
Homerville
Alma
Blackshear
Macclenny
Macclenny Warehouse
Folkston
Callahan
Jesup
Hinesville A
Hinesville B
Hinesville Warehouse
Glennville
Baxley
Waycross Warehouse
Statesboro
Name
*
First Name
Last Name
Beginning Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Ending Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Total Days Taken:
Vacation Hours Available on Last Payroll Receipt:
Look in the top right corner
Type of Leave:
*
Sick Leave (illness or injury)
Bereavement (Immediate Family)
Bereavement (Other)
Personal Leave
Jury Duty or Legal Leave
Emergency Leave
Temporary Leave
Leave Without Pay
Other
Reason for Leave:
Approved By:
*
Should be Empty: