Employee Out Pass Request Form
Submit this form to request temporary permission to leave the workplace during working hours.
Full Name
*
First Name
Last Name
Employee ID
*
Department
*
Please Select
Human Resources
Finance
IT
Operations
Sales
Marketing
Other
Date of Out Pass
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time Out
*
Hour Minutes
AM
PM
AM/PM Option
Expected Return Time
*
Hour Minutes
AM
PM
AM/PM Option
Reason for Leaving
*
Supervisor's Name
Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Submit Request
Should be Empty: