University of Louisville
Human Resources
Louisville, KY 40208-2770

 

 


University of Louisville Human Resources
Request for Leave

Employee Name:    EmployeeID(emplid#):
Employee Title:
Employee Department:
Employee Email Address:
please enter the complete email address (ie user@louisville.edu)

Type of Leave Requested: (Choose One):

Explanation:

Total Number of Hours (Optional):

  Date
 (Month/Day/Year) 
Time
 (Hour:Minute AM/PM) 
 Time and date leave to begin: 
 Time and date leave to end: 

Please enter the EMAIL ADDRESS of your supervisor or the appropriate person for approval of your leave requests: