Vacation Leave Request Form

Thank you for being a part of the Thompson’s RTC team! To request your vacation leave, please complete the below form and submit it. In order to ensure that all shifts are covered, please request at least one month (if possible) but not more than two months in advance. Staff will receive written notification of approval through their supervisor. If you have any questions, please contact your immediate supervisor for clarification.

Employee Name(Required)

First Last

Date Submitted(Required)

Employment Date(Required)

Dates Requested for Leave

First Date of Vacation(Required)

Last Date of Vacation(Required)

Please chek one of the following(Required)

With Pay

Without Pay