Home › Information About › About the School › Administration › Staff Policies & Procedures ›

Time off Request Form

in

INSTRUCTIONS:

  1. Fill in as many or as few spaces (or even none) in the form as you want.
  2. Click "Show Printable Form".
  3. Print.
 

UCI - THE HENRY SAMUELI SCHOOL OF ENGINEERING

APPROVAL REQUEST FORM FOR TIME OFF OR COMP. TIME ACCRUAL

Before any time off is requested, be sure your leave balances can support the requested time off.*
I am requesting   hours time off from work to be charged as follows:
Please indicate below the type of time used and the amount.
Sick Leave     Vacation     Comp. Time     Other*
From: a.m. p.m.    Date:
Return: a.m. p.m.    Date:
*Reason:

FOR COMP. TIME ACCRUAL REQUEST

I am requesting   hours of Accrued Comp. Time

From: a.m. p.m.    Date:  

Purpose:
To: a.m. p.m.    Date:  
Employee Signature
   Date:
      
Supervisor Signature
   Date:
   Timekeeper Initials:
*Employees are responsible for keeping track of their own leave balances
‹ Staff Policies & Proceduresup2009-10 Bi-Weekly Payroll Calendar ›