Time-off Request Form
Full Name
*
Please enter your full name.
This field is required.
Employee ID
*
Enter your employee identification number.
This field is required.
Request Type
*
Select the type of time-off request.
Select an option
Vacation
Sick Leave
Personal Leave
This field is required.
Start Date
*
Select the starting date of your time-off.
This field is required.
Start Time
*
Select the starting time of your time-off.
12:00 AM
01:00 AM
02:00 AM
03:00 AM
04:00 AM
05:00 AM
06:00 AM
07:00 AM
08:00 AM
09:00 AM
10:00 AM
11:00 AM
12:00 PM
01:00 PM
02:00 PM
03:00 PM
04:00 PM
05:00 PM
06:00 PM
07:00 PM
08:00 PM
09:00 PM
10:00 PM
11:00 PM
This field is required.
End Date
*
Select the ending date of your time-off.
This field is required.
End Time
*
Select the ending time of your time-off.
12:00 AM
01:00 AM
02:00 AM
03:00 AM
04:00 AM
05:00 AM
06:00 AM
07:00 AM
08:00 AM
09:00 AM
10:00 AM
11:00 AM
12:00 PM
01:00 PM
02:00 PM
03:00 PM
04:00 PM
05:00 PM
06:00 PM
07:00 PM
08:00 PM
09:00 PM
10:00 PM
11:00 PM
This field is required.
Reason for Leave
*
This field is required.
Submit
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