Paid Time Off Request (PTO) - Management

Instructions: Use this form to request scheduled or unscheduled Paid Time Off

To schedule PTO, submit this form 21 days in advance to your Supervisor for approval.  Requests that are not submitted at least 21 days in advance may not be accommodated due to impact on project coverage.  For unscheduled PTO you must submit this form to your Supervisor for approval as soon as you return to work.

One day of PTO is defined as 8 hours.

PTO can only to be used in place of scheduled work time. Please do not submit a PTO request for days/times you are not scheduled to work, as your request will not be approved.

All requests for time off are subject to management approval and company policies.

Day One

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Day Two

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Day Three

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Day Four

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Day Five

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Day Six

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If requesting more than 6 days of PTO, please complete and submit a second request.

Total Hours Requested
0.00

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