VACATION REQUEST FORM

Vacation must be requested at least two weeks in advance and also must be approved by your supervisor. Unscheduled and/or unapproved time off will be not paid and will be recorded as unexcused time on your attendance record.

Vacation time scheduled must be ½ of your scheduled shift at a minimum.

Employee Name: 

Supervisor: 

Vacation Request
This is an unpaid vacation:

I am requesting hours of vacation.

I hereby request vacation for Start – end

If time requested is less than a full shift, please indicate time interval:

I am requesting vacation time from to

Submit completed requests to HR for processing.