CSR Absence Form
Name *
Prefix
First *
Last *
Suffix
Your supervisor	choose oneAngelaTammy
PTO Being Taken	choose1 hour2 hours3 hours4 hours5 hours6 hours7 hours8 hours1 day (8 hours)2 days (16 hours)3 days (24 hours)4 days (32 hours)5 days (40 hours)1 week (40 hours)2 weeks (80 hours)Other If you select other please note the amount of time in the box below
Other
Date Start *	MM / DD / YYYY
Date End *	MM / DD / YYYY
Additional Information	Once you submit this form it will be automatically be sent to both Center Supervisors. You will be given notification of time off approval once your request has been reviewed.