Time Off Request

Name(Required)

First Last

Email (For notification of PTO approval)(Required)

Choose a Level(Required)

Total Number of Days Requested(Required)

Please enter a number greater than or equal to 1.

Paid/Non-Paid(Required)

Paid

Non-Paid

PTO Type(Required)

Vacation

Sick

Funeral

Half/Full Day(s)(Required)

Full Day (8 hours)

Half Day (4 hours)

Enter start and end date of the desired time off:

Start Date(Required)

End Date(Required)

Enter start and end time of the desired time off:

Begin Time(Required)

End time(Required)

Do you need a substitute?(Required)

Yes

Comments