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The University of Tennessee
Staff Leave Request
*Required Field
Name*
Email*
Date Submitted*
Personnel No.*
A = Annual C = Comp J = Jury Duty FMLA = Family Medical Emergncy Leave UTB =UT Business/Professional Development AH =After Hours/Weekends/Holidays S/S =Sick Leave (Self) PD =Personal Day O =Other S/F =Sick Leave (Family) B =Bereavement W/O =Without Pay
Type of Leave*
Please select the date you are requesting leave for:
Please input the time that you will be missing on the above date:
Time Started
Time Finished
Your Initials By initialing above, you verify that the above information is accurate and truthful. Any inconsistencies will be investigated.
