TIME OFF REQUEST FORM

Please fill out this form COMPLETELY to request time off and return it to your manager for approval.

*All vacation requests must be made in writing at least 1 month prior to requesting time off.*

Name

First Name

Last Name

Email

Store Location

I would like to take (select from below)

Start Date

MM

DD

YYYY

End Date

MM

DD

YYYY

Total # of Days:

Total # of Hours:

Approved by Manager

Yes

No

All paid time off should comply with company policy and further documentation may be requested. Policy questions may be answered by referring to the Employee Manual.