PTO/TO Request Form
Your Name:
*
First Name
Last Name
Site/Code:
*
Please Select
DCL9 - Cleveland
DGT8 - Atlanta
DPP7 - Pittsburgh
REGEX
Manager's Name:
*
First Name
Last Name
Date(s) Requested Off
*
Do you wish to use PTO for this request?
*
Please Select
Yes
No
Check your ADP to verify you have PTO available
Notes / Reason for Request:
Today's Date:
*
-
Month
-
Day
Year
Date
Signature:
*
SUBMIT
Should be Empty: