EmailMeForm
SPRING HOUSE HOTEL REQUEST TIME OFF FORM
Salary & hourly staff members must complete this form. Both Department head and general manager must sign off on the request. When possible this form must be completed in advance.
Company Name Of Employment
*
Please select
Spring House Hotel
Providence Oyster Bar
The Fire Brick Oven
Federal Taphouse & Kitchen
DiBiase Associates
Name
*
First
Last
Today's Date
*
MM
/
DD
/
YYYY
TIME OFF INFORMATION
Time Off Begins
*
MM
/
DD
/
YYYY
Time Off Ends
*
MM
/
DD
/
YYYY
Number Of Work Days Requested
*
Type Of Leave
*
Vacation Time
Sick Leave
Personal Time
Other
Doctors Note
Shift Coverage?
Do You Have Shifts Covered?
*
Yes
No
Names of People Covering
Reason
*
Employee Signature
*
Clear
Management Approval
Approved
Yes
No
Date Of Approval
MM
/
DD
/
YYYY
Department Head Signature
Clear
