JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Staff Time Off Request
Please give at least 2 weeks' notice prior to the requested time off.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name:
*
Your answer
Today's Date:
*
MM
/
DD
/
YYYY
Date(s) Requested:
*
Your answer
Time(s) Requested: AM/PM/All Day
*
Your answer
Substitute Name:
*
Your answer
Type of Leave:
*
Sick Leave (Illness or Injury)
Bereavement Leave (Immediate Family)
Bereavement Leave (Other)
Personal Leave
Jury Duty or Legal Leave
Emergency Leave
Temporary Leave
Leave Without Pay
Other:
Reason For Leave:
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report