Time Off Request

Kindly complete all essential fields, and don't forget to follow up with your Director to confirm the submission of your request.

Name

First Name

Last Name

Request Type

Personal Time

Self Appointment (Doctor, Dentist, Emergency, ETC.)

Child Appointment (Doctor, Dentist, Emergency, School Event, ETC.)

Civil Duties (Court, Jury Duty, ETC.)

Last Minute Appointment (Approved by Directors)

Reason

Start Date

YYYY

End Date

YYYY

Start Time

Hour

Minute

Second

End Time

Hour

Minute

Second