Leave RequestYour time off should be submitted, scheduled, and approved by the Executive Team in advance. Name * First Name Last Name Today's Date: * MM DD YYYY Beginning Date of Request: * MM DD YYYY Ending Date of Request: * MM DD YYYY When will you return to work? * MM DD YYYY Type of Request: * Vacation Training Sick Personal Emergency Personal Leave W/O Pay Family/Medical Leave Days/Hours Requested * Current days/hours Available * Current days/hours Remaining * By checking agree, I understand that time away from work is subject to approval by the Executive Team * Yes Thank you!
