MyTime Supervisor Request Form

Employee Name * Required
First Last
Supervisor Name * Required
First Last
Supervisor's Email Address * Required
Supervisor * Required
- I certify that I am the supervisor of the above employee.
Type of Request * Required
Please submit one form per request.
- Leave Request
- Lunch Adjustment
- Schedule Adjustment
Leave Request * Required
Ensure the supporting Leave documentation is forwarded to the UMW Benefits Administrator dfrye2@umw.edu, or retained by supervisor as appropriate. Visit the Payroll Forms page for details.
Total Number of Hours * Required
Enter the total number of hours requested
Lunch Adjustment (Required for Lunch and Schedule Changes) * Required
Select the appropriate Lunch time-frame, No Lunch, or No Change.
Effective Date * Required
Select the date the request will become effective.
MM slash DD slash YYYY
Contact Me
- I would like the Payroll Department to contact me about making schedule adjustment changes within MyTime.
Description of Schedule Adjustment
Provide a description of your schedule which includes in and out times. Example: Monday-Friday 7:30a-4:30pm