Time Off Request Form

TIME OFF REQUEST FORM

Please allow up to 48 business hours for us to approve time off.

    Request for time-off must be turned in at least four weeks before the 1st date requested. Restricted days for time off are from June 1st to October 1st. Once approved/denied a copy of your time off request will be returned to you. A written request is required for all vacation and/or time off.

    Time Off Requested for:

    Please Enter Valid Email:


    Time Off Start Date:

    Return to Work Date:

    Number of days to be used:

    Choose Time Off Type:


    Please Enter your FULL LEGAL NAME as a digital signature:



    I agree to the terms of Time Off request:

    Associated Time Off Files:

    over50years

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