Leave Requests Please enable JavaScript in your browser to complete this form.Use this form to submit leave requestsLeave Type *Please choose the type of leave you would like to useSick leavePTOLeave without payHave you verified that you have enough of this type of leave by checking your last pay stub? *YesNoThe employee is allowed to use earned sick and safe leave under the following types of conditions: *To care for or treat the employee’s physical or mental illness, injury or conditionTo care for a family member with a physical, mental illness, injury or condition***For maternity or paternity leaveThe absence from work is necessary due to domestic violence, sexual assault, or stalking committed against the employee or the employee’s family member and the leave is being used to (1) obtain medical or mental health attention, (2) obtain services from a victim services organization, (3) legal services or proceedings, or (4) temporary relocation due to domestic violence, sexual assault, or stalking.****** Family member includes spouse, child, parent, grandparent, grandchild or sibling.Request off start date - Please give a minimum of 2 weeks notice for PTO *Request off end date *Number of hours Selected Value: 1 Submit