Benefits
HR Staff
Job Postings
Staff Manual
College Holidays
Mary Schwab Nomination
Copyright Infringement and File Sharing
Organizational Chart
Campus Safety
Forms

Time-Off Request Form

Complete this form for time away from work, regardless of whether you will be paid or not. After obtaining your manager's signature, submit to Human Resources/Business Office. If received after payroll has been processed, the time taken will be deducted on the next pay period.

Date Submitted:
Employee Name:
Employee ID #:
Department:
Email:
Work Phone:
Cell or Home Phone:
 
Reason for Absence: Vacation
Sick Self
Sick Family Member
Bereavement - Family Member:
Jury Duty
Other:
 
Date(s) Of Absence:
Total Hours Requesting To Be Paid:
 
Manager:
Manager's Email: