PTO Request

Paid time off includes any situation that you know might prevent attendance at work (e.g., vacation reservations, doctor’s appointments, moving day, sick time, etc.).  If you are aware of any situation that might prevent your attendance at work, submit a request using this “time off request form”. Your direct supervisor will review your request and give approval if:

  • The workload allows.

  • Another staff member has not put in a previous request for the same time.

  • You have not had excessive absences.


Please complete the form below

Name *
First Day of your Request *
First Day of your Request
Last Day of your Request *
Last Day of your Request
Date returning to work *
Date returning to work