EmailMeForm
Time Off / Late Form
Use this form to request vacation time, sick or any other absence from your shift. Must be completed ONLY by the employee requested for. Note: Requests must be made a minimum of 2 weeks in advance.
Your Name
*
First
Last
Employee Number
*
Email
*
Confirm
Department
*
Please select
Bodyshop
Detail
Express
Glass
Parts
Service
Job Title
*
Please select
Auto Glass
BodyTech/Painter
Call Center
Detail/Wash
Estimator
Lot Staff
Manager
Other Support
Parts Advisor
Service Advisor
Tech/Apprentice
Phone
*
###
-
###
-
####
Type Of Leave
*
Please select
Day-In-Lieu
Floater (If available)
Late
No Pay (Provide details)
Other (Please explain)
Sick (No pay)
Sick (Requesting pay if available)
Vacation Day(s)
From (First day absent)
*
MM
/
DD
/
YYYY
To (Last day absent)
*
MM
/
DD
/
YYYY
Number of Working Days
*
Reason / Notes
*
