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PTO Use Form
Paid Time Off must be approved by the appropriate supervisor. Employees who have been approved for PTO must submit this form during the pay period in which they intend to use PTO hours. Regular hours and PTO hours must not exceed 80 for a pay period.
Employee Name
*
First
Last
Date Submitted
MM
/
DD
/
YYYY
Pay Period
From:
*
MM
/
DD
/
YYYY
Pay Period
To:
*
MM
/
DD
/
YYYY
Number of PTO hours being used
*
Date(s) PTO Used
*