Paid Time Off Request Form
Requests must be approved by both the GM & Supervisor. Store coverage is necessary for any & all requests to be approved. PTO will be denied if the employee calls off the day before or the day after the requested time.
Store Name
Please Select
Job Title
Please Select
Crew
Manager
GM
Supervisor
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
PTO Start Date
-
Month
-
Day
Year
Date
PTO End Date
-
Month
-
Day
Year
Date
Back to Work Date
-
Month
-
Day
Year
Date
# of PTO hours
Reason
Please Select
Vacation
Personal Leave
Sick
Other
Additional Comments
Submit
Should be Empty: