Time Off Request Form

Per the time off requests policy, all requests must be submitted using the form below and must adhere to the following:

1. Submitted at least 2 weeks before the needed date
2. Only 1 employee can have a time off request approved for a particular work day
3. Employees may not request more than a half day off for appointments
4. Employees are allowed no more than 5 time-off requests a year
5. Employees may not request more than 2 consecutive workdays off at one time.

An email response from management will be communicated to the requesting employee in a timely manner. It’s highly recommended that you check with your manager to make sure the date you are requesting is available before submitting your request. Any employee who takes time off after already having had their requests denied will be subject to disciplinary action up to and including termination.