Employee Time Off Request

A copy of this request and the applicable response will be emailed to your email address supplied below. If a response is not received in a timely manner, the responsibility is upon you to follow-up.

 

Your Name:

Your Email:

Your Division:

Your Supervisor:

Start Date (MM/DD/YYYY):

End Date (MM/DD/YYYY):

Type of Time Off: (required):

Explanation/Notes (not required)

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Except for positions with flexible schedules, any PTO requests received with less than ten days notice should be considered “short notice” requests. The employee’s direct supervisor should make a neutral HRN note of any “short notice” requests.