Time-Off Request Name * First Name Last Name Email * Todays date * MM DD YYYY Is this tiMe-off more than 60 days from the requested dates? * While 60 days notice is required- we take many things into consideration for each request. YES - Its more than 60 days away NO - Its is less than 60 days away Details and dates you are requesting off * Number of work hours requested off * Are you picking up days? * Yes No Details and dates you would like to pick up Thank you!