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Request Time Off

Please fill out this online form to request time off. Once you submit your information, it will be sent directly to your supervisor.
If you have any questions about this form or about requesting time off, please reach out to your supervisor.

This will be the first day of your time off.
This will be the last day of your time off.
Please make sure to check your pay stub to ensure that you have coverage before selecting PTO, PTA, or Paid Sick Leave. Approval is only given for time-off, not for compensation.
Please include any additional relevant information here.

* Indicates a required field