EmailMeForm
Time Off Request Form
Let us know when you need your travel leave.
Name
*
First
Last
Email
*
Phone
###
-
###
-
####
Do you know how much leave you have available?
*
yes
no
not sure
Time off for current calender year
Authorized
Used
Available
Vacation
Personal
Sick
Number of contiguous days requested
*
Please select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
From:
*
MM
/
DD
/
YYYY
To:
*
MM
/
DD
/
YYYY
Type of Leave
*
Please select
Personal
Vacation
Sick
Reason for Leave
Department (check all that apply)
On-Air
Sales
Programming
Board-Op
Traffic
Engineering
Management
Backup Personnel
Who will be taking care of your responsibilities while you are gone? Please cover all departments checked above. (i.e. - "On-Air -J Boles," "Sales - Mike Heckathorn," "Programming - none - done in advance")
Will you be available by phone in case of work emergency?
Please select
Yes
No
Text message only
