Staff – Emp Request Forms Employee Request Forms Paid / Unpaid Time Off Request Form This field is hidden when viewing the formDate YYYY dot MM dot DD Name(Required) First Last Email(Required) Phone(Required)Note: Please Request all times within 1 week (Sunday to Saturday). Please submit any other weeks on seperate forms.(Required) I understand. IF "Amount PTO" field is left blank , accrued time will NOT be used. If the request is under 2 weeks, PTO MAY NOT be approved. Explanation below required if less than 2 weeks. If more than a week submitted, PTO may not be credited on payroll and you may be asked to resubmit.Sunday - Date MM slash DD slash YYYY Amount PTO - SundayPlease enter a number less than or equal to 8.Monday - Date MM slash DD slash YYYY Amount PTO - MondayPlease enter a number less than or equal to 8.Tuesday - Date MM slash DD slash YYYY Amount PTO - TuesdayPlease enter a number less than or equal to 8.Wednesday - Date MM slash DD slash YYYY Amount PTO - WednesdayPlease enter a number less than or equal to 8.Thursday - Date MM slash DD slash YYYY Amount PTO - ThursdayPlease enter a number less than or equal to 8.Friday - Date MM slash DD slash YYYY Amount PTO - FridayPlease enter a number less than or equal to 8.Saturday - Date MM slash DD slash YYYY Amount PTO - SaturdayPlease enter a number less than or equal to 8.This field is hidden when viewing the formTotal Hours RequestedI acknowledge that "IF" this Schedule Request is less than 2 weeks notice, my PTO may be denied "AND" I will call the office immediately after submitting. (Short Notices need to be reported to Office Administration for Scheduling Purposes)(Required) I understand and will call 859-303-4040 after submitting if less than 2 week notice. Call immediately - If after hours, call and press 0 to speak with the on call manager. Leave Voicemail if not answered.Explanation if neededWhy needed and why if less than 2 weeks.CAPTCHA Weekly Availability Change Form This field is hidden when viewing the formDate YYYY dot MM dot DD Name First Last Date the change should start MM slash DD slash YYYY Schedule change requests must be made 2 weeks in advance I have made this request 2 weeks in advance In the fields below, please enter your requested availability in the following format: 8a-5p, 12p-6pSundayMondayTuesdayWednesdayThursdayFridaySaturday Add RemoveEmail NotesCAPTCHAThis field is hidden when viewing the formI want all the info Select All Choose 1 Choose 2 NameThis field is for validation purposes and should be left unchanged. PPE - Personal Protective Equipment - Form Name(Required) First Last Email Select All That Apply Small Gloves Medium Large Gloves Disposable Masks Reusable Cloth Masks Isopropyl Alcohol Hand Sanitizer Shoe Covers Face Shields Protective Suit Write in Request(s)CAPTCHA