Time Off Request Form

Please submit your request here. 

JRT policy is that your request must be submitted at least 4 weeks prior to taking the time off.  

If you are requesting time off less than 4 weeks in advance, please call your immediate supervisor/manager for verbal approval. 

Sign in to Google to save your progress. Learn more
Email *
Your First and Last Name: *
Is your leave paid or unpaid?
Clear selection
Start date of request:
MM
/
DD
/
YYYY
End date of request:
MM
/
DD
/
YYYY
Who is your supervisor that will approve this request? *
Who is the PM on the project you are working on? *
How much of your time off is paid?
Comments: *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of JRT Mechanical Inc.. Report Abuse
Google Forms