Extended PTO Leave Request

Extended PTO Leave Request
Please only fill out this form if you are taking more than 10 consecutive days off.

* This form should not be used for every PTO request. You should email your supervisor for leaves less than 10 days *
Partner Name*

First NameLast Name
Partner Email*
example@example.com
Supervisor Name*

First NameLast Name
Supervisor Email*
example@example.com
Department Head Name*

First NameLast Name
Department Head Email*
example@example.com
Describe Reason for Extended PTO*
Select Requested PTO Dates
Select Requested PTO Dates
Should be Empty: