Time off Notice Form

Which Department are you Working *

VRI (Video Remote Interpreting)
ASL (non VRI)
Foreign Language (non VRI)

Your Name *

First

Last

Email *

Language(s) You Interpret *

Please list all languages you interpret. You do not need to list English.

Date you will be out *

You must complete one form for each day you will be out

How Many Hours are you Scheduled on the Date You Will be Off? *

Total number of hours you will be out *

How many hours will you be out that day?

If you have Paid Time Off, Would You Like to Use any For This? *

Yes, Please Use Paid Time Off
No, Time off Will be Unpaid
N/A I do not have Paid Time Off

Paid time off will only be applied if you have any available in the current year. If you select “yes” but don’t have enough, only your available paid time will be applied.

Anything to explain?

Anything you want to clarify? Also if the number of hours you will be out don’t match your daily hours, let us know you will only be out for partial days.