PTO Request Date of Request* Date Format: MM slash DD slash YYYY Employee Name* First Last Supervisor*-Clay WintersChad EngleSupervisor Email* Department*-Mite-E-Ducts FieldOfficeI would like to request the following date(s):*Purpose*-P.T.O.Time off without pay*Jury DutyBereavement*May not be requested until all other paid time off has been used. 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