Time off Request
Time off requests are to be submitted at least 30 days prior to the requested date(s). We will attempt to approve requests within reason. Do not assume that requesting time off automatically means that you will not be scheduled. It is your responsibility to ensure that you have not been scheduled for the coming week. Management will grant requests based on your seniority in PicaBean.
Sign in to Google to save your progress. Learn more
Full Name *
Start Date *
MM
/
DD
/
YYYY
End Date *
MM
/
DD
/
YYYY
Type of leaves *
Description if needed. Fusce dapibus, tellus ac cursus commodo, tortor mauris condimentum.
Reason for leave *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy