Staff Time Off Request

Webform March 6, 2024

Please note: Vacation requests may be denied if the requested time off would interfere with the operational needs of the department.

Name: *

Email: *

Vacation Requests

Department: *

Select Work Lead:

(If Applicable)

Select your Appropriate Administrator: *

Select Time Category (choose all that apply): *

Vacation

Personal Holiday

Comp Time

Sick Time

Bereavement

Comment

Please Leave Comment:

Beginning Date 1:

End Date 1:

Add Time Interval

Beginning Date 2:

End Date 2:

Add Time Interval

Beginning Date 3:

End Date 3:

Add Time Interval

Beginning Date 4:

End Date 4:

Add Time Interval

Beginning Date 5:

End Date 5:

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