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EMPLOYEE LEAVE REQUEST FORM

Steps

  1. 1. Employee Information & Time Off Dates Requested
  2. 2. Electronic Signature
  3. 3. Request approval for leave and submit.
  • Employee Information & Time Off Dates Requested

    1. STOP! This form DOES NOT REPLACE EMPLOYEE SELF SERVICE [ESS]
      If you have access, please use ESS to enter all leave codes available. There are some codes as an option that require pre-approval from HR before using (codes listed with an asterick{*}. Please make sure you have that approval.
    2. Any questions concerning the use of or issues with this form, please email Payroll@durhamnc.gov
    3. VERIFY and FORWARD
      After you have completed the form: (1) Review and close the Employee Leave Request Form screen; (2) Open the email sent from noreply@civiplus.com (Online Form Submission - Employee Leave Request Form); (3) Forward the email to your supervisor (for approval) and timekeeper (for time entry); (4) Your supervisor and/or timekeeper will notify you concerning your requested leave (approved or denied).
    4. PLEASE NOTE:
      If you selected the incorrect code, please reenter. This is only an electronic form and DOES NOT effect any leave until management approves it and the timekeeper enters your time.
    5. FROM DATE
    6. TO DATE
    7. Enter number of hours requested.
    8. HR Approval Needed for Leave Types Flagged with Asterisk (*)
      *HR approval is needed prior to submitting the leave types flagged with asterisk (*) If you have not received HR approval, do not submit this leave and contact HR at HRConnect@durhamnc.gov to request approval. If the leave code selected does not have a balance available, you will be contacted by your Timekeeper to provide an updated leave code. Floating Holiday hours must be taken for a full day's hours. They cannot not be taken for partial hours.
    9. Enter any additional information (if any).