This form contains 20 fields organized into 10 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
First Request - Approval Decision and Authorizer
Authorized By Text
Enter the name of the person authorizing the approval decision for this first time-off request.
Max length: 68 characters
Approved Checkbox
Check this box if the employee’s time off request is approved.
Denied Checkbox
Check this box if the employee’s time off request is denied.
First Request - Employee and Submission Date
Employee Name Text
Enter the name of the employee requesting vacation or time off.
Max length: 52 characters
Date Submitted Date
Enter the date this vacation/time off request was submitted.
Max length: 30 characters
First Request - Employee Signature
Employee Signature Text
Enter the employee's signature to confirm and submit this time off request.
Max length: 58 characters
First Request - Requested Dates
Requested Dates Text
Enter the date or date range(s) you are requesting off for this time-off request.
Max length: 96 characters
First Request - Time Off Hours (Vacation/Unpaid)
Vacation Hours Requested Number
Enter the total number of vacation hours you are requesting for this time-off request.
Max length: 19 characters
Reason for Unpaid Time Off Text
Provide the reason for requesting unpaid time off. Fill only if 'Unpaid Hours Requested' has a value greater than 0.
Max length: 48 characters
Depends on: Unpaid Hours Requested
Unpaid Hours Requested Number
Enter the total number of unpaid hours you are requesting for this time-off request.
Max length: 19 characters
Second Request - Approval Decision and Authorizer
Authorized By Text
Enter the name of the supervisor or manager authorizing the approval or denial of this time off request.
Max length: 69 characters
Approved Checkbox
Check this box to indicate the second time-off request is approved.
Denied Checkbox
Check this box to indicate the second time-off request is denied.
Second Request - Employee and Submission Date
Date Submitted Date
Enter the date this vacation/time off request was submitted.
Max length: 30 characters
Employee Name Text
Enter the name of the employee requesting the vacation/time off.
Max length: 52 characters
Second Request - Employee Signature
Employee Signature Text
Enter the employee’s signature to confirm and submit this time off request.
Max length: 58 characters
Second Request - Requested Dates
Requested Date(s) Date
Enter the date or dates you are requesting time off.
Max length: 96 characters
Second Request - Time Off Hours (Vacation/Unpaid)
Vacation Hours (Second Request) Number
Enter the total number of vacation hours requested for this second time-off request.
Max length: 19 characters
Unpaid Hours (Second Request) Number
Enter the total number of unpaid hours requested for this second time-off request.
Max length: 19 characters
Reason for Unpaid Time (Second Request) Text
Provide the reason the requested time off is unpaid. Fill only if 'Unpaid Hours (Second Request)' has a value greater than 0.
Max length: 48 characters
Depends on: Unpaid Hours (Second Request)