Grace Baptist Church

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Days off Request Form Today’s Date:

Name:

VACATION REQUEST: Vacation days/hours I have available :

(This should be the total available at the time of your present request)

Specific dates I am requesting use of vacation:

_________________________

Complete date range(s) I will be out of the office, including days off:

_________________________

Vacation balance:

_________________________

(Please use the DATES you are requesting, not days of the week. Include hours if non-exempt.)

(Chey to update)

PROFESSIONAL DAYS REQUEST: Nature of my request: Day(s) or hours I am requesting: COMPENSATION DAYS REQUEST: Reason I am requesting compensation time:

_________________________ _________________________

_________________________

Day(s) or hours I am requesting:

_________________________

PERSONAL/SICK LEAVE REQUEST: Day(s) or hours I am requesting:

_________________________

Sick leave balance:

(Chey to update)

_________________________ Email to Supervisor

Approved by: _______________________________________Date: ______________________ Accountant:________________________________________ Date: ______________________

Send to Accountant

Email form to employee

Submit this request to your Direct Report for approval at least three (3) weeks in advance (except in emergency circumstances). Consider your request approved when you have a signed (by direct report) copy of the request returned in your mail box. Copies of the approved form will be distributed as follows: requesting individual, Direct Report, Central Office, Staff Lead, and personnel file. This request also assumes that you will have your ministry area fully covered during your time off. *Please see Employee Handbook for details of each category.

AJL 02/23/16