TIME OFF REQUEST

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Enter in Full Name. I acknowledge by submitting this form that I am requesting time off. Based on available paid time off (PTO), I may not be paid for this time off. I also acknowledge that this request may or may not be approved by my supervisor based on current company work load.