Personal and Vacation Request Form

  • Employees are entitled to use vacation and personal time after completing their first 90 days of employment.
  • Employees must submit their VACATION TIME request to their immediate supervisor at least TWO WEEKS in advance of their request.
  • The form below should be submitted with the timesheet that includes the requested days off from work.
  • Personal time cannot be used prior to or after a Holiday or Vacation day used.

Please complete the form below

Requires signature of Employee and Supervisor.

Today's Date
Today's Date
Name *
Signature Required