Blackstone | Time Off Request

Routing

Select a department to auto-fill the approver, or enter manually.

Incomplete

Department

Assessor Email

Date Submitted

CC (optional)

BCC (optional)

Employee

Who is requesting time off?

Incomplete

Full Name

Email (optional)

Scheduled Days Off (tap your weekly off days — affects business day count)

Request Details

Reason and any notes for this request.

Incomplete

Reason

Specify Other Reason

Additional Notes (optional)

Dates & Duration

Select your date range, or enter partial-day hours for a half-day request.

Incomplete

Start Date

End Date

Total Days

Partial Day Hours (up to 3 rows for half-day or split-hour requests)

From

To

Request Type

Signature

Sign once here. The captured signature will be placed onto the PDF signature line at generation.

Awaiting signature

Signature Not yet captured

Employee Signature Panel

Use mouse, trackpad, stylus, or touch. Sign naturally inside the panel.

Draw your signature here This signature will be transcribed directly onto the generated PDF.

Review & Export

Verify details, generate your PDF, preview it, and submit via email with the PDF attached.

Not ready

Subject

Employee

Department

Reason

Dates

Duration

Partial Hours

Notes

Signature

PDF Not yet generated

PDF Preview

Email body preview ▼

Request History

Previously submitted time off requests and their approval status.

Assessor Mode