TIME OFF REQUEST
Employee Information:
Your Name (First and Last):
*
This field is required!
Department/Contract:
*
Select
Microbiologist Support
This field is required!
Phone Number:
*
This field is required!
Email Address:
* (make sure it's correct to receive notifications)
This field is required!
Email is invalid!
Re-Enter Email Address:
*
This field is required!
Email address does not match!
Time Off Information:
Number of days requested :
*
Select
1 day
2 days
3 days
4 days
5 days
Required!
Number of hours requested:
*
Select
1 hour
2 hours
3 hours
4 hours
5 hours
6 hours
7 hours
8 hours
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40 hours
Required!
Starting on :
*
Required filed!
at:
*
12:00 am
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Ending on:
*
Required filed!
at:
*
12:00 am
12:30 am
1:00 am
1:30 am
2:00 am
2:30 am
3:00 am
3:30 am
4:00 am
4:30 am
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6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
9:30 am
10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
5:00 pm
5:30 pm
6:00 pm
6:30 pm
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8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
Return to work on:
*
This field is required!
at:
*
12:00 am
12:30 am
1:00 am
1:30 am
2:00 am
2:30 am
3:00 am
3:30 am
4:00 am
4:30 am
5:00 am
5:30 am
6:00 am
6:30 am
7:00 am
7:30 am
8:00 am
8:30 am
9:00 am
9:30 am
10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
5:00 pm
5:30 pm
6:00 pm
6:30 pm
7:00 pm
7:30 pm
8:00 pm
8:30 pm
9:00 pm
9:30 pm
10:00 pm
10:30 pm
11:00 pm
11:30 pm
Type of request:
*
Select
VACATION
PERSONAL
SICK
JURY DUTY
BEREAVEMENT
UNPAID TIME OFF
This field is required!
Additional Information:
By submitting this form, you agree that you have read and understood our policies and you agree to them.
What happens after the form is submitted?
You will receive a confirmation email for your request, please make sure your email and phone number are correct in order to receive notifications.
Please allow up to 48 hours for a response to your request, also please make sure all requests are submitted in a timely manner.
If you have any question, please submit a helpdesk ticket at
https://ctex-inc.on.spiceworks.com/portal