Employee time off request form

EMPLOYEE FIRST & LAST NAME

TIME OFF START DATE

mm/dd/yyyy

TIME OFF END DATE

mm/dd/yyyy

VACATION DAYS

Amount of days that are paid time off only

SICK HOURS

UNPAID DAYS

Unpaid days you are requesting off

EMPLOYEE SCHEDULE (FOR MANAGERS ONLY)

REQUIRED FOR ALL STORE & TAILORING MANAGERS: Please provide a link to your store staffing calendar.

NOTES FOR MANAGER

If using both vacation and unpaid days, please note which dates are vacation/unpaid for payroll purposes.

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