top of page

Time Off Request Forms

The appropriate form must be completed 

Time Off Request

Sick Time Request

Time Off Request Instructions

​

Employees must include the specific dates and times for the requested time off in the section below. Hawley Homecare will make every reasonable effort to accommodate time-off requests.

Time-off requests must be submitted at least 48 hours in advance. Any request submitted within 48 hours of the requested time off may be automatically denied.

Thanks for submitting! Your request has been sent to management for approval.

Upload File
Upload supported file (Max 15MB)

Sick Leave Requests

​

Employees requesting sick leave for missed workdays must include the specific dates of the absence in the message box when submitting their request.

If you have sufficient sick leave available in your balance, you will be compensated for the approved sick time.

If an employee is absent due to illness for two (2) or more consecutive workdays, a doctor’s note may be required to approve the sick leave request. Failure to provide appropriate documentation may result in the sick leave request being denied.

Thanks for submitting! Your request has been sent to payroll.

bottom of page