PTO Request Form

Paid Time Off Request Form

This form is to be filled out by each employee for all personal time requested. All requests for vacation are on a first come first serve basis. Please attach any doctors notes that require you to be out 3 or more days due to illness.For more details on personal time-off policies please see the following: Section III Part G of the Policy & Procedure Manual for details pertaining to personal time-off (link below).
PTO Guidelines
Your Name*

First NameLast Name
Your E-mail*
Supervisor Email
example@example.com
Your Supervisor's Name*

First NameLast Name
Your Supervisor's Email*
Select from Dropdown
PTO Start Date*

MonthDayYear
PTO End Date*

MonthDayYear
Just need a Few Hours off. Just input that here and choose your date above
Additional Comments
Please verify that you are human*
Ann's Email
example@example.com
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Paid Time Off Request Form