CCMS Leave Request Form

This form needs to be completed by any employee requesting leave and submitted for approval by the employee's supervising administrator.

Employee Name Employee Name First Last
Employee Email
Please select your department administrator or supervisor.
Date(s) of Leave Requested
Choose One:

Choose One: Full Day Half Day - A.M. Half Day - P.M. Comp Time (Number of Hours) Comp Time (Number of Hours)
Substitute Needed:

Substitute Needed: Yes No
Reason:

Reason: Sick/Medical Personal Vacation (251 employees only) Field Trip* (complete location/time info below) Inservice - in county* (complete location/time info below) Temporary Duty - out of county and in county (complete location/time info below) Comp Time
*Location
*Time Leaving
*Time Returning
UPLOAD LESSON PLANS (THIS IS REQUIRED FOR ALL INSTRUCTIONAL STAFF)

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