Time off request
Please submit the times you need to take off work and the type of leave you are taking.
First Name *
Your answer
Last Name
Your answer
Email Address *
Your answer
Start Date & Time *
MM
/
DD
/
YYYY
Time
:
End Date & Time
MM
/
DD
/
YYYY
Time
:
Type of leave *
Total hours of leave:
Your answer
Reason for leave/ comp time
Please provide a brief description of the reason for your leave.
Your answer
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