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.
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Name
*
First
Last
Email
*
In case of emergency, we'll reach you via this email.
Please indicate whether your absence is single-day or consecutive days.
Single day
Consecutive days
Reason 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 Notes
Submit Request