Comp-Time and PTO From
Comp-Time and PTO From
Overtime and PTO Request Form
Employee Name:
Employee Name:
*
First
Last
Date
Date
*
/
MM
/
DD
YYYY
Employee's Email
What are you Requesting for.
What are you Requesting for.
Comp-Time
PTO
Comp-Time Info
Date that Comp-Time was made.
Date that Comp-Time was made.
/
MM
/
DD
YYYY
Number
Why was Comp-Time needed for? Please add Location that Comptime was worked on.
PTO Request
Typoe of Leave Requested:
Typoe of Leave Requested:
Personal Day Off
Sick Leave
Dr. Office Visit
Vacation
Holiday
Other
Dates Requested from:
Dates Requested from:
/
MM
/
DD
YYYY
Dates Requested through:
Dates Requested through:
/
MM
/
DD
YYYY
Hours Off.
Hours Off.
:
HH
MM
AM
PM
AM/PM
How many Hours are you going to be off?
Number
Comments. If you don't Think you have enough comp-time please let me know when you plan to make it up here.
Draw your signature into the box below.
*
Draw
or
Type
I understand this is a legal representation of my signature and I acknowledge that I have or will have sufficient accrual for the requested.
Clear
Full Name
I understand this is a legal representation of my signature and I acknowledge that I have or will have sufficient accrual for the requested.