DPW REQUEST FOR VACATION OR SICK DAYS OR COMP TIME

* Please note that all Vacation Day Requests past the 7 allotted requests need 24 hour notice and approval*

NAME*

Type of Leave Requesting*

Vacation Sick

Comp Time

Dates Requested for Vacation Leave

Dates Requested for Sick Leave

Comp Time Date & and Hours Requested.

Please give an email in case your Department Head has any questions for you on dates requested.*

*You must submit a separate form for each category of Vacation Requests, Comp Time Requests or Sick Day Requests*

Approval is granted based on the assumption that an employee still has the requested time available. Approval may be withdrawn if sufficient coverage is not available within a department.