REQUEST TIME OFF FORM - RACKING | Single Source Systems Inc.

Date*
MM slash DD slash YYYY
Foreman's Name*
First Last
Your Email*
Employee Name*
First Last
REQUESTED DATE (S) OFF:
From*
MM slash DD slash YYYY
Thru*
MM slash DD slash YYYY
Choose an Option:*
- USE MY AVAILABLE PTO
- UNPAID LEAVE
ANY ADDITIONAL NOTES:*
*** PRIOR APPROVAL FROM BOTH, MANAGER AND CLINT ASWEGAN IS REQUIRED TO USE PTO. ANY UNAPPROVED LEAVE (PAID OR UNPAID) WILL BE CONSIDERED AN UNSCHEDULED ABSENCE. ***
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Manager/Foreman's Approval*
- Approved
- Denied
Manager/Foreman Signature*