Unplanned PTO FORM

Unplanned PTO (MANAGEMENT USE ONLY)

To be filled out by a Service or Supply Chain manager only.
Region*
Date of UPTO*

MonthDayYear
Date
Manager Name*
Employee Name:*
Select Type of Unplanned PTO:*

Unscheduled AbsenceLate ArrivalEarly DepartureNo Call/No ShowProtected
Select hours late/early:*

Up to 59 minutesWithin 1 hour - 1 hour and 59 minutesWithin 2 hours - 2 hours and 59 minutesWithin 3 hours - 3 hours and 59 minutes4 or more hours
Additional Comments:
Should be Empty:

Unplanned PTO (MANAGEMENT USE ONLY)