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----paid
PTO----unpaid
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
