PGDS Time Off Request

Employee Name: *

Today's Date: *

Reason For Request: *

Brief Explanation: Please provide a short, but detailed explanation.

Enter Your Current Vacation Balance: * Entering 0 indicates unpaid time.

Enter Your Current Personal Time Balance: * Entering 0 indicates unpaid time.

Vacation Balance (planned time away) --

Personal Time Balance (illness or personal appointments) --

Total Leave Hours Requested: * 8 hours = 1 day

Start Date and End Date: *

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📋 Employee Acknowledgment & Signature

Your signature will appear here

I acknowledge that this request is subject to manager approval based on business needs and scheduling. I will await formal approval before making any non-refundable arrangements.

Reason for occurrence *

Select the closest reason for this attendance occurrence.

Brief explanation * Please provide a short, but detailed explanation.

Occurrence Type *

Unplanned tardiness (running late)

Full-day absence (not reporting this shift)

Is this paid or unpaid time off being requested? *

Select paid only when personal time should be applied to this occurrence.

Personal Time Balance

-- Balances refresh bi-weekly. Confirm against ADP if unsure.

Best contact number during this shift *

📋 Employee Acknowledgment & Signature

Your signature will appear here

I acknowledge this occurrence report is subject to PGDS attendance policies and will be reviewed under company standards. I confirm the details are accurate to the best of my knowledge.