Leave Request Form (Staff Only) Leave Request Form Complete all required fields and submit to your supervisor in advance and in accordance with established policy. You request will then be reviewed and an "approval" or "disapproval" response will be sent to your University email address.Department Employee Name* First Last Cell PhoneLeave Request DetailsAdditional Information Charge To Information* Normal Vacation Personal Leave Sick Leave Holiday Compensation Time Without Pay Event Start Date* MM slash DD slash YYYY Leave - Start Time* : Hours Minutes AM PM AM/PM Event End Date* MM slash DD slash YYYY Leave - End Time* : Hours Minutes AM PM AM/PM Days of Leave Requested*Hours of Leave Requested*Supervisor's Determination Approved Disapproved Date of Supervisor's Determination MM slash DD slash YYYY Reason(s) for disapproval, if required.CommentsThis field is for validation purposes and should be left unchanged.