Time Off Request

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Time Off Request

This form is for all time off requests: Vacation, Jury Duty, Maternity Leave, Sick Leave, etc.

Notification must be given at least 2 weeks in advance for time-off requests that are 3 weekdays or less. Any time off that is more than 3 weekdays should be requested at least 4 weeks in advance. Any time-off request not meeting these requirements may or may not be honored.

Name *

Supervisor *

The one who would approve this request.

Time-off should be taken in half day increments (i.e. 1.5 or 4.0).

Start Date *

If this is a half day, please say what time you will be leaving campus. If not, just put midnight.

YYYY

Time

End Date *

If this is a half day, please say what time you will be returning to campus. If not, just put midnight.

YYYY

Time

Request Types *

Vacation

Sickness

Jury Duty

Maternity Leave

Short-term Leave of Absence (>4 weeks)

Long-term Leave of Absence (>3 months)

Other:

Comments:

Anything else we should know?

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