Instructions: Use this Time Off Request Form to request scheduled or unscheduled Time Off.

This form should be submitted in advance of scheduled time off to your supervisor with at least 1 month notice. This form must be approved and signed by your supervisor and submitted to Human Resources prior to your time off.

Submit to: Reem.Badwey@1st-americare.com 202-993-4049 Tiger Carrasco Tiger.Carrasco@1st-americare.com 240-204-2004 Mary Winston Mary.Winston@1st-americare.com 240-507-4411