PTO REQUEST

PTO Request Form

Please fill out this form to request PAID TIME OFF. VACATION must be pre-approved prior to use. SICK is automatically charged and deducted if you are unable to report to work. If you have exhausted your SICK time & VAC – the time is considered unexcused.

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • Please enter a number from 1 to 40.