Leave/PTO Request UF Health Advancement(Required) UF Health Shands University of Florida Today's Date(Required) MM slash DD slash YYYY Name(Required) First Last Email(Required) Enter Email Confirm Email Time requested:(Required)Fill out the table below with the date(s) that you are requesting. You can submit multiple requests by clicking the (+) icon to the right of the "Total Hours" field. For example:Begin Date: 10/18/21End Date: 10/18/21Total Hours: 8 Begin Date: 10/25/21 End Date: 10/29/21 Total Hours: 40Begin DateEnd DateTotal Hours Add RemoveAdditional DetailsIs this an FMLA-Qualifying Event?(Required) Yes No Total Hours Absent(Required)Type of Leave(Required) Vacation Sick Other Coverage Arranged?(Required) Yes Coverage not needed Additional CommentsSupervisor ApprovalSelect Supervisor for Approval(Required)Choose supervisorHeather AdkinsErin BauerCynthia DeMatesTamera FreemanMargaret FriendLauren GalarneauAnna HarperHeather HolcombKai KhambattaAnn KoralewskiJessica LayneHeather MearsAgnes NiedbalskaTara TovkachBen Valentine
