H2H Time Off Request
**Requests for Vacation must be submitted two weeks in advance of the first day of absence. PTO days must be submitted 48 hours prior to the first day of absence. By completing this form and signing below, you understand that this submission for time off is only a request and does not guarantee approval. You will be notified of your approval status by your manager.**
Employee Name:
*
First Name
Last Name
Employee Email:
*
example@example.com
Branch:
*
LAWRENCEVILLE - 555
CHARLOTTE - 582
Department:
*
OFFICE
INSTALLATION
WAREHOUSE
MANAGEMENT
Manager:
*
RYAN ANDERSON
TAYLOR GRAVITT
JOE MEEKS
MARIE GALIOTO
DAVID SEYMOUR
JOE GALIOTO
KELLI STOUT
JACKIE FUKARTAS
FRED PERRY
Type of Absence Requested:
*
VACATION
PERSONAL (PTO)
MATERNITY / PATERNITY
JURY DUTY
MILITARY
BEREAVEMENT (Must provide documentation)
TIME OFF WITHOUT PAY
OTHER (Must provide explanation below)
Absence START:
*
/
Month
/
Day
Year
Date
Absence END:
*
/
Month
/
Day
Year
Date
Total Days Off:
*
Enter the total number of absence days requested per the Start and End dates above.
Comments:
Please provide any comments or special requests
Signature:
*
Submit
Should be Empty: