Time Off Request : Millard Sprinkler

Time Off Request

First Name(Required)

First
Last Name(Required)

Last
Email(Required)
Employee ID for Verification.
Enter format a99999
Date of First Day Off(Required)

MM slash DD slash YYYY
Date of Last Day Off(Required)

MM slash DD slash YYYY
Date Returning to Work(Required)

MM slash DD slash YYYY
If Requesting a Partial Day off Please Elaborate
- Morning
- Afternoon
- Other
Partial Day Request Start Time

:
Hours

Minutes

AM/PM
Partial Day Request Return Time

:
Hours

Minutes

AM/PM
Reason For Request(Required)
Other Reason for Request
Additional Comments
I understand that this request is subject to approval by my supervisor and/or management team.(Required)
- Aknowledgment