Time off Request

    Your Name (required)

    Your Email (required)

    I request the following time off from my regular schedule.

    Total Number of Work Hours Requested Off:

    First Day:

    Last Day:

    Times if less than a full working day:

    in order to qualify for paid time off you must:
    - have at least 1 full year of service
    - have accrued enough PTO hours to cover the time being requested off