Please enable JavaScript in your browser to complete this form.Employee Name *FirstLastEmail *Contact NumberTime off start date *End date *Reason *Vacation: Time off for leisure, travel, or holiday.Medical: Absences for doctor's appointments, surgery, or illness recovery.Personal: Time needed for personal matters that require attention during work hours.Family Emergency: Urgent situations that require an employee's presence, such as a sick family member.Other/Prefer Not to sayReturn to work date *DateTimeAdditional commentsSubmit Request
