UTS Official Time Off Request Form 2025

Please make sure to submit your time-off request at least two weeks before your planned break. All requests will be reviewed and approved by Misty.

Please state your full name

Discipline*

If you have a multiple date range, kindly fill out a new form. Thank you!

If you have a multiple date range, kindly fill out a new form. Thank you!

Re-assign Patients*
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