Time Off Request

Time Off Request

"PTO" - Personal Time Off
Today Date*

MonthDayYear
Request Date
Hour MinutesAM/PM Option
Name*

First NameLast Name
Email*
You will receive a copy of this request and a email message be sent Approving or Denying your request.
Mobile Phone Number
If provided, an additional text message is send Approving or Denying your request.
Type of Time Off Request*

Personal Hour(s)Personal Day(s)Holidays and/or Optional DaySickDoctor Office VisitScheduled medical procedure or surgeryJury DutyVoting TimeMilitary Leave
Note:
Only Vacation Hour(s) and Vacation Day(s) are Paid. Please refer to the company policy for details. Make sure you have enough vacation days/hours available to you for the request you are making!
Note:
Be aware you are requesting UNPAID PTO or HOLIDAY OFF
I'm Not coming to work on this Holiday.*
Note: Holiday - PAID (No TORN Needed)

New Year’s Day - January 1

Memorial Day - Last Monday in May

Independence Day - July 4

Thanksgiving Day - 4th Thursday in November

Christmas Day - December 25
Note:

Please read before requesting PTO.
1. "Personal Hours" or "Personal Day" is for emergencies only!
  Note: "Personal days" Time Off must be requested in advance. Depending on workload, we may reject Personal Time Off given to us on short notice.
2. If you request immediate time off (same day or hour), please talk to your supervisor first to get approval to leave early.
3. You will need to provide evidence of your emergency in writing. Please use the "Comments" section to explain the nature of your emergency or upload your official document in the "Upload Document" section. We will request additional documentation if provided documentation is not inadequate or valid.
4. If you do not provide proof of emergency, your request will become an unexcused absence, and you will receive written notice.
Note:
We require a doctor's note for absences lasting more than (2) two consecutive days.
My Birthday is*
Starting On*
Ending On*
I will Return to Work On*
Number of Day(s) requested*
1 Day = 8 Hours !
Number of Hour(s) requested*
Max 7 Hours
Comments
Upload Document

Cancelof
Do you have New Address?

NoYes
New Address*

Address Line 1

Address Line 2

CityState

Zip Code
Phone Number*
Should be Empty: