M & O Staff Leave Request Form

This form is used to submit requests for leave by the
University Place Maintenance and Operations Personnel. 
       This Leave requested by:
            Your Name   :   
                                 - First and Last Name, Please - 
       How do we get back to you on whether this is approved or not:
            Your EMail  :   
                             Required for us to respond your request.
        
        When do you want to be gone:
            Date   :        
            Time   :        
        (Date is "Jan. 12th", or "Starting Jan. 12th", not "next Tuesday")  
        (Time is "all day", "for two weeks", "from 4:00p to 5:30p", etc)
         
                                 
         Type of leave requested:
- Annual        - Sick        - Comp Time 
          A little space for an explanation if necessary:
                 
           

 Please note: Prior approval for some types of leave is required.

          If you request leave, it is up to you to know that you have the leave to take.

          FYI, Verbal responses are not remembered nor noted anywhere.

           CYA, Retain this request and the response for your records.
Submit an Email if the form doesn't work.