Paid Time Off Request Form printable pdf download

Paid Time Off Request Form

For internal use only:

Hours available: ______ as of ____________________

PAID TIME OFF REQUEST FORM

Today’s Date: ________________________

Employee Name: _______________________________

First Date of PTO: ____________

Last Date of PTO:_______________

Number of Vacation Hours Requested: _________

1. It is the policy of Piping Systems, Inc. to grant annual vacations, both as a reward

for the labor of the current year, and to provide an opportunity for employees to

freshen their energies and point of view by a change for working routines.

2. No more than two field personnel will be allowed the same week’s vacation.

Vacation schedules are to be mutually agreed upon by the project manager and

the employee, with due consideration to work requirements.

3. Management reserved the right to cancel a vacation based on unforeseen

circumstances; although, in the past, this has been a rare occurrence.

4. A vacation request form must be filled out for any and all vacation time. An

employee time slip asking to be paid for vacation time is not acceptable.

Employees will not be paid for vacation time unless a form has been turned in and

approved.

5. Notify your immediate supervisor of your absence to eliminate any

miscommunication or interruptions in planning or scheduling.

6. An employee must get the signatures from the following, on the request form, in

order for vacation time to be paid.

Supervisor: _______________________________

Date: __________

Payroll Clerk: _____________________________

Date: __________

\\SBS\Data\Shared\Forms and Templates\Employment\PTO Request Form.doc

Paid Time Off Request Form