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Self Quarantine Time Off Request Form
1
Reason of requesting a time off
COVID test result is positive
Suspicious in case of being exposed to COVID-19
Precaution
Other
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2
Employee Name
First Name
Last Name
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3
Email
example@example.com
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4
Phone Number
Area Code
Phone Number
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5
Time Off Start Date
-
Date
Month
Day
Year
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6
Time Off End Date
-
Date
Month
Day
Year
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7
Start to work on again
-
Date
Month
Day
Year
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8
Notes
1
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