Employee Time Off Request Form

At Ivy League Electric Inc., we understand the importance of work-life balance and support our team members in managing their time effectively. Our Employee Time Off Request Form is designed to provide a clear and straightforward process for requesting vacation days, personal leave, or other absences.

First Name *

Email Address *

Employee Name

Date of Request*

Start Date of Leave*

End Date of Leave*

Total Days or Hours Requested

Type of Time Off (Select One)

Vacation Banked Hours* I request to use my banked vacation hours for the time period indicated above.

Available Vacation Hours

Personal Time Off Unpaid* Personal Appointment Other

If Other

Reminder: Personal time off is considered unpaid leave unless otherwise approved in writing.

Additional Notes if applicable

Employee Acknowledgement
I confirm that the information provided above is accurate and understand the terms of my request.

Employee Signature*

Clear Signature

Date*

Supervisor Approval

Approved* Yes No

Date Approved*

Supervisor Name *

Supervisor Signature