Employee time off request form

EMPLOYEE FIRST & LAST NAME*

TIME OFF START DATE*

TIME OFF END DATE*

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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