Administrative Request Form

Employee ID(Required)

This is simply your initials (James Christie is JC)

Request Type (Time off or Supplies/Other)(Required)

Please submit only one form per action items. Do not combine Time Off Requests with a Supply Request. Multiple supplies can be included on one form. Multiple Time Off Requests should be submitted on separate forms.

Time Off Requests

Was your request your request submitted at least 2 weeks in advance.(Required)

Yes

This is Sick or Emergency Time Off

From Date

To Date

Total Number of Days Requested: Describe the hours you will not be at work, if it is less than a day requested (Do Not Include Weekends or Holidays)

Items Needed

Description and Quantity of Items Needed:

Please specify specific brand or size if required, price and who is going to purchase it. Don't forget to send all receipts to [email protected]

Is this your first submission for this request?(Required)

Check Here

Administrative Request Form

Time Off Requests

Items Needed

Call Now (888) 874-3839