Administrative Time Authorization Request Form
Submit your request for approval to use administrative time. Please complete all fields to ensure timely review.
Full Name
*
First Name
Last Name
Employee ID
*
Department
*
Please Select
Human Resources
Finance
Operations
IT
Marketing
Other
Supervisor/Manager Name
*
Date(s) Requested
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Total Hours Requested
*
Reason for Administrative Time
*
Contact Email
*
example@example.com
Attach Supporting Documentation (if any)
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Additional Comments or Notes
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