(713) 771-1033

Download Our Brochure Here

REQUESTED TIME OFF FORM

Requested Time Off

To utilize PTO hours for requested time off, this form must be completed (2) weeks in advance of the 1st day off.
If you are requesting PTO time for a sick day, this form must be submitted no later than the Monday prior to payroll at 8:00AM.

First Name:*
Last Name:*
Date of request:*
MM slash DD slash YYYY
Dates requested off:*
Requested first day off:*
MM slash DD slash YYYY
Date to return to work:*
MM slash DD slash YYYY
I am requesting to use PTO days.*
- Yes
- No
List the number of PTO hours you wish to use.*
My available balance of PTO hours as of this request is:*

(PTO balance can be confirmed on what is listed on your pay stub.)