Employee PTO / Sick Request Form

All staff must complete this form prior to any PTO or vacation plans. For sick time, this form should be completed upon returning from illness. Managers will review PTO requests and submit approved forms to the General Manager for final approval.

01 Employee Information

02 Requested Dates

Add one or more date groups. Each group can have a label (e.g., "Christmas Week" or "Out of Town") and multiple individual dates.

03 Notes / Reason

04 Signature

Type your full name in the signature field below. By typing your name you acknowledge this request is accurate and complete.