Time Off Request Form

All requests for time off must be approved in advance by the Campus Director or immediate supervisor.

Paid sick time requests must be made and approved prior to the end of the pay period if you would like payment for any sick time missed during the pay period.

All paid time off requests are subject to verification of eligibility and are conditioned upon available time earned. Time off is not approved until you receive confirmation from the Campus Director or your immediate Supervisor.

If you have any questions about eligibility or paid time you have accumulated, please contact your Campus Director or immediate Supervisor.

Your Name Your Name First Last
Enter your name here
Requesting Employee Email Address

Enter your KCC email address here
Your Campus/Department

Your Campus/Department Riverview South Riverview Southeast KCC Southeast Middle Riverview Southeast VPK Riverview Lake St. Charles District Office

Select your work location here
Select Type of Time Off Requested

Select Type of Time Off Requested Vacation Sick/Personal Bereavement Birthday Unpaid Time FFCRA (Administrative Use Only)

What type of time-off are you requesting?
From Date From Date / MM / DD YYYY

Enter the 1st day of your time off. You will not be able to select Blackout Dates. See your Campus Director for Emergency Requests.
To Date To Date / MM / DD YYYY

Enter the final day of your time off. You will not be able to select Blackout Dates. See your Campus Director for Emergency Requests.
Is This Time Off Request for Less Than 8 Hours?

Is This Time Off Request for Less Than 8 Hours? Yes No

If this request for time off is for less than a full day, selecting YES will prompt you to enter the time window that you will be absent.
From Time From Time : HH MM AM/PM
To Time To Time : HH MM AM/PM
Additional Information

Maximum of 100 words allowed. Currently Entered: 0 words.
Add any information you would like to be considered for this request, i.e. "doctor's appointment," or "Car trouble".
Kid's Community College is dedicated to a diverse work culture that does not discriminate on the basis of sex, religion, race or natural origin. Please consult the Associate Handbook for specific rules regarding time off.
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