Time Off Request (For scheduling time off in advance)
Please use this form to request time off.  Time off is not approved until it is posted to the staff schedule or you receive verification from a supervisor.

Time off is granted on a first-come, first-served basis. Depending on schedule coverage and contingency planning, some requests may not be honored.

Sign in to Google to save your progress. Learn more
Email *
Name *
Library location/branch *
Leave date(s) *
Time of day(s)  (Please list specific hours or "All Day") *
Type of leave *
Required
Total hours requested off plus type of leave (ex: 4 hours vacation leave, 4 hours personal leave. If unsure of duration, enter "unsure.")
Reason for leave
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy