Wufoo
Time Off Request
Please secure approval from your supervisor prior to submitting this form.
Name
*
First
Last
Today's Date
*
/
MM
/
DD
YYYY
Has Supervisor Approved?
Yes
No
Time Away Options
Vacation
PTO
Sick Leave Bank (If available)
Conference, Attending
Conference, Leading
Dates of Requested Time Off
(And any additional information as needed.)
*
Your Email address
Do Not Fill This Out
