MPBC Staff Request For Time Off Please submit requests for time off, other than sick leave, two weeks prior to the first day you will be absent. MPBC Staff Request for Time Off - New Today's Date * Employee Name * Employee Email * Supervisor Name * Supervisor Email * Type of Absence Requested * Vacation Time Off Without Pay Sick Maternity/Paternity Bereavement Military Jury Duty OtherOther Date of absence from: * Date of absence to: * Total Hours Taken: * Reason for Absence: * Electronic Employee Signature * Submit If you are human, leave this field blank. Δ