Staff Time-Off Request Name of Staff Submitting Request * First Name Last Name Employee Email * Today's Date MM DD YYYY Site(s) Requesting Coverage For: * Dates Requested: (Please list them out with START and END dates) * Names of staff covering shifts: (Please list them out with specific shifts noted. Be sure to have written shift confirmation). * Have all staff that have agreed to cover for you given written confirmation? * Message/Additional Info Thank you!
