"Time off Request Form - Asu"

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Download "Time off Request Form - Asu"

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Request for Time Off
(Hourly/Non-exempt employee)
Absence Information
Employee Name:_____________________________________________________________________
Employee Number:_____________________________ Department:___________________________
Supervisor:__________________________________________________________________________
Type of Absence Requested:
Sick
Vacation
Bereavement
Jury Duty
Comp Time
Time off without pay (Use Leave of Absence Request form for LOAs)
Date of Absence
From:______________________(first day of leave) To:_____________________(date of return to work)
Reason: ___________________________
Total Time Requested:________________ (hours)
You must submit requests for absences, other than sick leave, two days prior to the first day you will be absent.
Employee Signature:_______________________________________Date:________________
Manager Approval
Approved
Rejected
Comments:
Supervisor Signature:_________________________________________Date:____________________
Department Time Administrator Entry
DTA Signature:________________________________________________Date:__________________
ASU Office of Human Resources
Revised 08-02-16
Request for Time Off
(Hourly/Non-exempt employee)
Absence Information
Employee Name:_____________________________________________________________________
Employee Number:_____________________________ Department:___________________________
Supervisor:__________________________________________________________________________
Type of Absence Requested:
Sick
Vacation
Bereavement
Jury Duty
Comp Time
Time off without pay (Use Leave of Absence Request form for LOAs)
Date of Absence
From:______________________(first day of leave) To:_____________________(date of return to work)
Reason: ___________________________
Total Time Requested:________________ (hours)
You must submit requests for absences, other than sick leave, two days prior to the first day you will be absent.
Employee Signature:_______________________________________Date:________________
Manager Approval
Approved
Rejected
Comments:
Supervisor Signature:_________________________________________Date:____________________
Department Time Administrator Entry
DTA Signature:________________________________________________Date:__________________
ASU Office of Human Resources
Revised 08-02-16