Time Off Request - Shared Services

The below form should be used to request Vacation, Sick, Bereavement, Jury Duty, or Volunteer Time from your supervisor. For all other types of leave, please use the Human Resources Leave of Absence Form.

Employee Name

Employee Email

Supervisor Name

Supervisor Email

Additional Cc: Emails

Email addresses of recipents you'd like to Cc: on this request, separated by commas.

Leave Start Date

Leave End Date

Total Hours

Leave Type

Comments

Any additional comments

Before clicking SUBMIT: Check that all emails are correct. Finance & Budget is not responsible for email delivery failure.