Sick Time Requests

Sorry you aren’t feeling well.

Please fill out the form to request Sick Time for shifts in the current pay period. Any requests to use sick time for a shift in a previous pay period will not be accepted.

CFA Lakewood Sick Time Request

Name

First Name

Last Name

You will receive a reply to this email once your hours have been approved and added.

Shift Day & Date

If you are requesting more than one day, please add each day and date. Example: Monday, June 2 Tuesday, June 3

Shift Hours

If you are requesting more than one day, please add hours for each shift. Example: 11:45am - 3:00pm 5:00pm -10:45pm