PGDS Time Off Request

Employee Name: *

Today's Date: *

Reason For Request: *

Vacation

Personal

Sick Leave

Family Emergency

Other

Other Description:

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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📋 Important: Please submit time-off requests at least 60 days in advance to avoid scheduling conflicts. Emergency requests will be reviewed on a case-by-case basis.

📋 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.