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HR Web Services

Time Accrual/Leave Request Form

This is an electronic time accrual/leave request form to replace the existing paper format. Please note that this is only a submission to request leave or time accruals. Requests are not considered approved until you receive a confirmation email from your supervisor.

  Requestor's Name:
  Your E-Mail:
  Your Z-Num:
  Supervisor's E-mail:
  CC Request E-mail:
Date   Hours   Leave/Accrual Type
  Num. hours paid:
  Num. hours unpaid:

Extended Leave (Prior approval from the Office of Human Resources is required for any unpaid or extended sick leave.)


OFFICE HOURS: Monday - Friday 8:30AM - 5:00PM
SUMMER OFFICE HOURS: Monday - Thursday 8:00 AM - 5:15PM
TELEPHONE #: (609) 652-4384 FAX #: (609) 626-5573