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Time Off Request Form
Employee First and Last Name
*
Employee Email Address
Format should be yourfirstname@bestbeverage.net.
Example: Lee@bestbeverage.net
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Full or Partial?
*
Full Day
Partial Day
Multiple, Consecutive Days
Request to Switch Weekend on Call
Just a possibility, heads up.
Evening Plans (on a workday) - Request to be off by:
Evening Plans (on a workday) - Request to be off by:
Date Desired to be OFF
*
🛈
+
To Date
(if spans multiple, consecutive days)
*
+
On Call Swapping
*
This person has agreed to switch with me:
This person has agreed to switch with me:
Date Switching TO
*
🛈
+
End Date Switching
*
🛈
+
Time/s Requested and Explanation
*
Type of Time Off
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Vacation
Sick
Unpaid
Other
Vacation Time
Total # of hours I have available to me:
*
Taking total # of hours:
*
🛈
Manager can override this if necessary.
Sick Time
Total # of hours I have available to me: Please check Kronos
*
Taking total # of hours:
*
🛈
Paid Sick Time
*
Paid - I will have a Doctors Note (required)
Unpaid - I realize it will count towards Unpaid Time Off
Partially paid and partially unpaid (see balance and will have DR note for the paid)
Manager can override this if necessary.
Unpaid Time Off
*
🛈
I understand that taking excessive time off strains the other members of the team. I also understand that I could be required to take my vacation days, if available, and if I'm out of Personal Time.
Total Number of hours needing unpaid time off:
*
Explanation:
*
0/1000 characters
Other
Please click the ? to see more information from the company manual regarding these.
🛈
Organ and Bone Marrow Leave
Voting (2 hours, at end or beginning of shift)
Bereavement Time Off, relationship:
Bereavement Time Off, relationship:
Date Flexibility
I could be flexible, if necessary, my other options would be:
I could be flexible, if necessary, my other options would be:
At Best Beverage, we place a strong emphasis on personal responsibility, positive attitude and collaboration which leads to the common goals of profitability and excellence.