Request Time Off

Requests for time off or leave should be submitted two (2) weeks in advance to allow time to schedule appropriately. Requests for time off may be subject to approvals based upon the needs of the business.

Contact Information

First Name

Last Name

Phone Number

Email Address

Location

Request for Absence

Type of Absence Requested

Reason for Absence

Date of Absence From

Date of Absence Through

Number of PTO Days/Hours Used

Additional Information

Acknowledgment

I acknowledge that scheduled time off should be requested in accordance to the CHG Attendance & Tardiness Policy. All requests will receive a written approval or denial.

Request Time Off

Contact Information

Request for Absence

Acknowledgment

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