Fillable Printable Student Employee Time Off Request Form

Student Employee Time Off Request Form

STUDENT EMPLOYEE TIME OFF REQUEST FORM

Your request for time off must be submitted and approved by management in advance.

EMPLOYEE INFORMATION

NAME:

TODAY’S DATE:

NUMBER OF DAYS REQUESTED:

STARTING ON:

ENDING ON:

I WILL RETURN TO WORK ON:

TYPE OF REQUEST

VACATION

PERSONAL LEAVE

FUNERAL/BEREAVEMENT LEAVE

JURY DUTY

LATE

FAMILY AND MEDICAL LEAVE

TIME OFF TO VOTE

OTHER

COMMENTS

EMPLOYEE CERTIFICATION

I understand that time away from work is subject to management approval and company

policies.

Employee Signature: Date:

APPROVAL

APPROVED: YES NO

Supervisor/Manager Approval: Date:

Printed Name: Title: