Scheduled Time Off Form

Employee Form – Scheduled Time Off

Please give (when possible) at least 3 – 4 weeks advance notice for scheduling time off.

Name(Required)

First Last

Email(Required)

Reason(Required)

Vacation

Personal

Date Requested To Start(Required)

Returning To Us On(Required)

Comments(Required)

Human Resources will validate or discuss the request within 3 days. Please remember there cannot be multiple employees off on the same day and around major holidays. If your vacation time is used up, personal time will be used. We will miss you but make every moment count, and don’t forget to do something nice for your mother!

Scheduled Time Off Form

Employee Form – Scheduled Time Off

Americans with Disabilities Act (ADA) Notice