Time Off Request

Your Name (First and Last):*

Department/Contract:*

Phone Number:*

Email Address:* (make sure it's correct to receive notifications)

Re-Enter Email Address:*

Number of days requested :*

Number of hours requested:*

Starting on :*

at:*

Ending on:*

at:*

Return to work on:*

at:*

Type of request:*

Additional Information:

By submitting this form, you agree that you have read and understood our policies and you agree to them.

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