Time Off Request – GTM Companies

Time OFF Request

"*" indicates required fields

Employee Info

Employee Name*

Department*

Location*

Projected Time Off

Request Date*

1

Request Specific Times

From

:

To

:

Request Date*

2

Request Specific Times

From

:

To

:

Request Date*

3

Request Specific Times

From

:

To

:

Request Date*

4

Request Specific Times

From

:

To

:

Request Date*

5

Request Specific Times

From

:

To

:

Number of Requests*

Explanation*

Please explain the reason for your Request