Off-Peak Leave of Absence Request
Submit your request for leave during non-peak travel periods.
Employee Full Name
*
First Name
Last Name
Employee Email Address
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Department
*
Please Select
Sales
Customer Service
Operations
Marketing
Finance
Other
Job Title/Position
*
Type of Leave Requested
*
Annual Leave
Unpaid Leave
Sick Leave
Other
Leave Start Date
*
-
Month
-
Day
Year
Date
Leave End Date
*
-
Month
-
Day
Year
Date
Reason for Leave
*
Who will cover your responsibilities during your absence? (Name/Team)
*
Manager/Supervisor Name
*
Additional Notes or Special Requests
Employee Signature
*
Submit Leave Request
Submit Leave Request
Should be Empty: