Time Off Request : Millard Sprinkler

Time Off Request

First Name*

First
Last Name*

Last
Email*
Employee ID for Verification.*
Enter format a99999
Date of First Day Off*

Date Format: MM slash DD slash YYYY
Date of Last Day Off*

Date Format: MM slash DD slash YYYY
Date Returning to Work*

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

:
HH

MM
Partial Day Request Return Time

:
HH

MM
Reason For Request*
Other Reason for Request
Additional Comments
I understand that this request is subject to approval by my supervisor and/or management team.*
- Aknowledgment