Paid Time Off

Paid Time Off Form
All PTO requests are now made through the MyPay app.

If you don't have access to your MyPay app you can copy the following link and paste it in your browser: https://form.jotform.com/220205486090045
Specific Instructions Below
Store Number*
Storeemail
example@example.com
Email
Supervisor Email*
Submission Date*

MonthDayYear
Date
Name as shown in PULSE*

First NameLast Name
Team member requesting paid time off
First day of paid time off

MonthDayYear
Date
Date you will be returning to work

MonthDayYear
Date
Number of days to be paid*
Number of days unpaid*
Total number of days off
Comments or additional information
Approved or declined?
Should be Empty:

Paid Time Off Form