Leave Request for (Exempt) Faculty and Staff

If you see this don't fill out this input box.

Name*

E-Mail Address*

From Date and Time:*

To Date and Time

Total Hours Requested*

Leave Type(s)

Vacation Leave - VAESick Leave - SCEFuneral Leave - FNEJury Duty - JREMilitary Leave - MIELeave Without Pay - LWPDiscretionary Day - DDEHoliday Compensatory Time - HCTOther Absence*

Choose one or more leave types

Reason for Leave or Other Absence (Optional)

*Other Leave--Disaster Leave-DSE, Donor Leave-DNE, etc.

Supervisor's Email Address*

Email required for supervisor

Timekeeper's Email Address (optional)

Submit Leave Request to Your Supervisor For Approval 

Signatures are only required if leave request is printed instead of being submitted online.


Employee's Signature:


Date:


Supervisor's Signature:


Date:

Related Information

• Leave Programs
• KSU Policy and Procedures Manual Chapter:
  • Employee Leaves, Holidays, and Other Absences for Employees of Kansas State University, 4860