Employee Time Off Request Form Format

Advantage Sentry And Protection
TIME OFF REQUEST FORM
To:
Supervisor / Manager
Date:
From:
Officer / Agent (Print Name)
I am formally requesting that I be given the following day(s) off:
From (date): To (date):
From (date): To (date):
From (date): To (date):
I understand that I am not guaranteed to get the day(s) off that Ii have requested. I also understand that the approval or
disapproval of my request will be based on the needs of the company and whether or not the shift(s) can be covered.
REQUESTS MUST BE MADE IN WRITING, EXCEPT IN CASES OF AN EMERGENCY. ALL REQUESTS MUST BE SUBMITTED, AT A
MINIMUM, OF AT LEAST 1 WEEK IN ADVANCE OF THE REQUESTED DAY(S) OFF.
Signature:
Officer / Agent (if submitting electronically type employee number here)
Date:
APPROVED
By:
Supervisor / Manager
Date:
DENIED
cc: Manager
Supervisor
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Employee Time Off Request Form Format PDF

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