Personal Time Off Form 

Select Days of Absence

Select Days of Absence

Select Days of Absence

I elect to use my Paid Time Off hours:

Use Paid Time Off


By signing below, I acknowledge that time away from work is subject to Management’s advance approval. I understand that it is my responsibility to keep track of my available Paid Time Off hours and that if for any reason I am paid for hours that were not available to me, the over payment will be deducted from my pay.

Your Signature

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