Time Off Request Form

Submit the form below to request time off. After the form is submitted, your manager will review your request & accept or deny it.

Name*
First Last
Email*
Number of days requested off*
Days I'm requesting off*
I will be leaving on*
MM slash DD slash YYYY
I will return to work on*
MM slash DD slash YYYY
Type of request
The real reason...
Use PTO (If available)*
- Yes
- No