This form is to be used to request personal time off (PTO) day(s) for vacation, sick days, etc.

    What DATE(S) are you requesting off?


    Total # of PTO/days off requested?

    CATEGORY that would apply to this time off/away. (Select below)

    Your approved days off will go into the calendar, to help us not schedule events or meetings while you are away, or not interrupt your time away.

    EXPLANATION (Please state reason for request and any alternate arrangements in your absence).