Leave Request for (Exempt) Faculty and Staff

Leave requests after October 26, 2025, need to be made in the Time and Leave System. To learn more about the new system, review the Time and Leave System Website.

See instructions for questions about completing this form.

Employees must fill out all fields in the Personal Information and Dates/Hours section and include their supervisor and timekeeper's email address to submit leave. These fields are required.

PERSONAL INFORMATION First and Last Name: Email Address:

DATES/HOURS OF LEAVE

Vacation and Sick Leave are recorded in 4 hour increments

From Date: From Time: To Date: To Time: Total Hours Requested:

LEAVE TYPE

Choose One:

Vacation Leave VAE | Hours and Dates:

Sick Leave SCE | Hours and Dates:

Parental Leave PLE | Hours and Dates:

Funeral Leave FNE | Hours and Dates:

Jury Duty JRE | Hours and Dates:

Military Leave MIE | Hours and Dates:

Leave Without Pay LWP | Hours and Dates:

Discretionary Day DDE Date:

Holiday Compensatory Time HCE | Hours and Dates:

Other Absence | Type, Hours and Dates:

*Other Leave: Disaster Leave-DIS, Donor Leave-DON, etc.

REASON Reason for Leave / Other Absence:

SUPERVISOR Supervisor's Email:

DEPARTMENT TIMEKEEPER Timekeeper's Email:

-- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --

This form may not work on all devices.

Signatures only required if printing request instead of submitting online.

Employee's Signature: Date: Supervisor's Signature: Date:

KSU Policy and Procedures Manual Chapter:

Employee Leaves, Holidays, and Other Absences for Employees of Kansas State University, 4860

Related Information:

Leave Programs