EmailMeForm
Time Away Request Form
Employee Name:
*
Employee Number
*
Date(s) Requested:
*
Day(s) / Time:
MM
/
DD
/
YYYY
HH
:
MM
AM
PM
AM/PM
Reason for abscense:
*
Please select
Vacation (1400)
Vacation used from Banked
Vacation Purchase Plan (VPP) (1041)
Vacation Days Off Program (VDOP) (2613)
Banked Straight Time (1150)
Sick Leave (2000)
Medical Appointment (2150)
Unscheduled Family Care (2540)
Professional Development (2520)
Short Term Disability
Long Term Disability
Bereavement (2500)
Unpaid Personal Leave (UPL) (2612)
If you have any questions about which absence code to use please contact Tannis Wills at 204-474-6243.
If approved by your Supervisor/Department Head:
Accumulated (1150) - Straight-time requested by Employee
Accmulated (1035) - Double-Time requested by Supervisor
Used banked time (1045)
Total Number of days/hours:
Comments/Explanation:
