Employee Time Off Request Form

Please schedule your time off request as far in advance as possible. Request must be turned into Operations Coordinator. The company reserves the right to deny request.

Name(Required)

First Last

Today's Date(Required)

Number of Days Requested off:(Required)

Date Starting on:(Required)

Date Ending on:(Required)

Reason for Absence (Pick One)(Required)

Employee Signature(Required)

Approval(Required)

Manager Signature(Required)