Your Name (required)

Your Email (required)

Today's Date

Type of Leave you are Reqeusting?
SickVacationStudy

Dates that you will be out?

Total Number of Hours you will be out; Sick/Vacation/Study Leave?

Have you Notified your Supervisor yet?
YesNo

Has your Request been Approved by your Supervisor? (applies to vacation or study leave only)
YesNot Yet

Any Additional Comments?