This form is to be completed if you are requesting 4 hours (or more) off on any given day. All requests must be made a month in advance UNLESS circumstances are beyond your control.
Scan this QR code to use this paper checklist on your smartphone or tablet or
visit
https://safetyculture.com/
Title Page
To Be Filled Out By Employee
REMEMBER: All time off requests need to be submitted a MONTH in advance unless circumstances are beyond your control.
Please remember to send this request to your manager, to Laura Plummer & to yourself.
Employee Name
Employee Department
Name of Supervisor/Manager
Type of Time Off Request:
Comments
Start Date of Time Off Request
End Date of Time Off Request
Employee Signature
To Be Filled Out and Approved By Management
Request Approval:
Comments
Supervisor/Manager Signature
Please give a copy to Laura Plummer
Rona Gelman
EMCOR Betlem Time Off Request
This form is to be completed if you are requesting 4 hours (or more) off on any given day. All requests must be made a month in advance UNLESS circumstances are beyond your control.
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions.
The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice.
You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction.
You should independently determine whether the template is suitable for your circumstances.