Paid Time Off Request Form
Employee Name
*
First Name
Last Name
Your E-mail
*
Manager Name
*
Amanda Vander Iest
Dragana Mizdrak
Ernie Tai
Laura Templeton
Lauren Henze
Maria Copeland
Mike Thomas
Jesse Edgar
PTO Start Date
*
-
Month
-
Day
Year
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PTO End Date
*
-
Month
-
Day
Year
Date Picker Icon
PTO Hours Requested
*
Additional Comments
Submit Form
Should be Empty: