• Time Off Request Form

    Deadline for time off request is 5 weeks before the next 6 week posting period as per the Date Reference Schedule

  • Night shift is the last shift of the day. Example: If you are working nights starting at 23:30 on March 23, 2017, you would choose March 23, 2017 as the date

  • Type your reason here. ie. Medical Appt, Day off, attend event, etc

  • Please indicate the time you need to be away from work, leave blank if you selected "Entire Shift"

  • Add anything pertinent about your request. ie. I found X staff to replace me if your are unable to find someone