Time Off Request Form
Name
Email
Supervisor
Supervisor Email
Do you want to use vacation days?
Yes
No
Pay Only
Today's Date
Date of First Day Off
Day of First Day Off:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Date of Last Day Off
Day of Last Day Off:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Number of Days Requested
Notes:
Submit
