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Allied Universal Security Services

Time-off Request Form

Time Off Information

Employee Name*

Employee Number

Account

Manager

Type of Absence Requested *

Vacation

Sick (If Applicable)

Military (Must provide documentation)

Other:

Reason For Absence

Day(s) and Date(s) of Absence*

All requests for time off must be submitted two (2) weeks in advance.

Employee Signature (type full name)*

Date

Manager / Scheduling Supervisor Approval

This section is completed by your supervisor after receiving your request.

Complete required fields: Employee Name, Absence Type, Date(s), and Signature

Please keep all completed forms on file for audit purposes. · UPDATED 4/19