Time Off Request
For information on Vacation or Sick hours, please email Katie at firstname.lastname@example.org
Previous Time Off Balance (in hours)
Hours requested off (ex. 9-1, 4 hours in the afternoon, 5 full days, etc.
Type of leave
Description if needed. Fusce dapibus, tellus ac cursus commodo, tortor mauris condimentum.
Sick leave (Illness or Injury)
Leave without pay
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of theStone Church.