Manager Discretionary Time Off Request Form
Submit your request for manager-approved discretionary time off. Please provide all required details to ensure timely review.
Employee Full Name
*
First Name
Last Name
Work Email Address
*
example@example.com
Department or Team
*
Manager's Name
*
Type of Time Off
*
Please Select
Full Day
Partial Day
Multiple Days
Other
Start Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
End Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Request
*
Additional Comments (optional)
Submit Request
Should be Empty: