Employee Vacation/Absence Request

Requested by (required)

Your Email (required)

Reason for Absence (required)
VacationRetreat or ConferenceMaternity LeaveJury DutyComp TimeSick LeaveOther

If other, explain

Leave dates being requested --include all days you will be away, even if your day off! (required)

Approved by (Office Use Only)

Additional Message (If desired)