ABAS / PMLC Time Off Request

Use this form to request unpaid time off: late arrivals, early releases, unavailability blocks, or full-day absences. Your request will be sent to HR for review and approval.

Your Information

Full Name Work Email

Please use your @abaswma.com, @abaswma.org, or @packardmountain.com work email.

Request Type

Late Arrival

Early Release

Unavailability Block

Full Day Off

Callout (same-day absence)

Date & Time

Date

Expected Arrival Time

What time do you expect to arrive?

Expected Departure Time

What time do you need to leave?

From

The window you will be unavailable.

You are requesting the entire day off.

Reason (optional)

Your time off request has been submitted to HR for review.

Something went wrong. Please try again or email HR directly.

ABAS & PMLC

Your Information

Request Type

Date & Time

Reason (optional)