Time Off Request Form - Betterteam

[Pages:1]Time Off Request

Employee Name: Employee Number: Department: Manager:

Time Off Information

Type of Absence Requested: Sick Military

Vacation Jury Duty

Bereavement Maternity/Paternity

Dates of Absence: From:

To:

Reason for Absence:

Time Off Without Pay Other

You must submit requests for absences, other than sick leave, two days prior to the first day you will be absent.

Employee Signature

Approved Rejected Comments:

Date

Manager Approval

Manager Signature

Date

This time off request form downloaded from Betterteam.

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