PTO Request Form
Paid Time Off
Your Name
*
First Name
Last Name
Your Immediate Supervisor
*
First Name
Last Name
Beginning date of PTO
*
-
Month
-
Day
Year
Date
Ending date of PTO
*
-
Month
-
Day
Year
Date
Number of business days of PTO
*
Reason for PTO
*
Please Select
Vacation day
Personal leave
Other
Additional comments (optional)
Submit
Should be Empty: