Staff time-off request

Please use this form to submit planned and unplanned time-off requests, with as much advance notice as possible. Submitting this form is step one in the approval process. Step two is an email response from your supervisor or Jeremy approving or denying your request. If this request is for within 24 hours, please call/text Jeremy and your supervisor in addition to submitting the form.

Your name

Dates of travel or time off (please include all days you will be unavailable, even if outside of regular work days)

Type (check all that apply)
Paid time off (PTO)Unpaid time offOregon Sick TimeI believe I qualify for Paid Leave Oregon (PLO)

If requesting Oregon Sick Time or PLO, please provide details of your request:

How many sessions do you estimate this will impact?

Other notes about your request:

Are you modifying additional work days (i.e. moving clients, offering makeups), even if they don't require scheduling substitute trainers?
yesno

If yes, please specify which days will be modified and what your plan is to support the clients impacted:

I understand that time-off requests are not considered approved until I receive a response in writing from the management team.
I understand the management team will work to cover all of my sessions with substitute trainers.
I've blocked off this time in WellnessLiving so I am not available to be booked.