Employee Time Off Request Form

Use this form to request days off work. Always keep in mind that  althought we do our best to fulfill these, requests are not always guaranteed and are approved on a "first come, first served" basis. Thank you for your understading. 

Name *
Date *
Date you need off
Time *
Check the box for when you need off
Until *
Date you can be put back on schedule. If only one day, add the same date in
Check the box for when on the date above you can be placed back on the schedule