Police End-of-Shift Time Off Request
Submit your request for end-of-shift time off, including shift details, coverage, and supervisor routing.
Officer Full Name
*
First Name
Last Name
Badge or Employee ID Number
*
Contact Email
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Shift Date
*
-
Month
-
Day
Year
Date
Shift Type
*
Please Select
Day Shift
Evening Shift
Night Shift
Special Assignment
Type of Time Off Requested
*
Vacation
Sick Leave
Personal Leave
Compensatory Time
Other
Requested Time Off Start
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Requested Time Off End
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Reason for Time Off Request
*
Staffing/Coverage Arrangements
*
Coverage arranged with another officer
Supervisor will assign coverage
Not applicable (no coverage needed)
If coverage arranged, name of covering officer
Supervisor(s) to Route Request
*
Additional Notes for Scheduling
Submit Request
Should be Empty: