STAFF TIME-OFF REQUEST FORM Please fill out the form below to request your day(s) of absence. All fields must be filled out for consideration and approval. All request must be submitted 3 weeks prior to your intended date of absence. Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *In case of emergency, we'll reach you via this email.Please indicate whether your absence is single-day or consecutive days.Single dayConsecutive daysReason for absence *Date of absence *Indicate all dates if requesting for multiple dates. Please list the name(s) of staff covering your shift *Write N/A if not applicable.Additional NotesSubmit Request
