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:
  2nd CC Req. 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.)