PTO Request
Request time off from work
Employee Name
*
First Name
Last Name
E-mail
*
Fill in e-mail address to receive a copy of time off request
Department
*
CAV Field
Office/Operations
Sales
Service/Single Phase
Warehouse
Tech Dept
Programming
Type of Request
*
Single Day Off
Multiple Days Off
Single Date Requested Off
/
Month
/
Day
Year
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Number of Days Requested
Start Date (1st Scheduled Day Off)
/
Month
/
Day
Year
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Return Date (1st Day Back to Work)
/
Month
/
Day
Year
Date Picker Icon
Reason
*
Please Select
Vacation Time
Personal Leave
Bereavement Leave (Immediate Family)
Bereavement Leave (Other)
Jury Duty
Other
Paid or Unpaid Time Off Request
*
Paid Time Off
Unpaid Time Off
Are you traveling during your PTO?
*
Yes
No
To what destination are you traveling?
Comments
Submit
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