Staff Time Off Request Form

  • Date:PTO (number of hours)Sick Leave:Unpaid:Test3: 
  • Click the symbol to add an additional date.

While we require only 7 calendar days notice for time-off requests, it is in your best interest to submit
your request as early as possible for a greater chance of approval.

Have you….
Checked time-off calendar that no one in your Pay Code or Work Area has already been given the day off?
Checked that you are within the timeline requirements for requesting these dates?
Checked that you are not requesting an Admin blackout date?

  • Requests for January/February/March can begin December 15th.
  • Requests for April/May/June can begin March 15th.
  • Requests for July/August/September can begin June 15th.
  • Requests for October/November/December can begin September 15th.