PTO REQUEST FORM First & Last Name Your Email Start Date Full or Partial Day Full Partial I will be arriving in the morning and leaving in the afternoon I will be arriving in the afternoon If Partial Day, What Time Will You Leave/Arrive Will you be out the following day? Yes No Back to Work Date Total number of hours you expect to be out of the office Reason Vacation Sick Birthday Other - Explain in Comment Section Additional Comments SUBMIT Things to Remember Time off should be requested at least two weeks in advance of the requested day(s) off. When requesting time off, please consider the time of year, program/activities scheduled and other time off requests when making a request.