PTO Request Date of Request* MM slash DD slash YYYY Employee Name* First Last Employee Email* Please enter your email so a copy of this request can be sent to you.Supervisor*-Clay WintersChad EngleDepartment*-Mite-E-Ducts FieldOfficeI would like to request the following date(s):* As a reminder, employees with company issued vehicles who are taking 3 or more days off, must bring their vehicle to the office during their time off.Purpose*-P.T.O.Time off without pay*SickWill be in lateNeed to leave earlyBereavementJury Duty*May not be requested until all other paid time off has been used.If you selected "Will be late" or "Need to leave early" please specify what time. Please specify what time you will be in at your late arrival, or what time you will need off for leaving early.Additional Comments PLEASE NOTE: Upon completion, your request will be reviewed by your manager and be approved or denied. Submitting this form does not guarantee your PTO is approved. Share this:PrintFacebookLinkedInTwitterMoreTumblrPinterestRedditPocket