Date* Date Format: MM slash DD slash YYYY Employee Name* First Last Employee Email* Supervisor*Allison AbramoAmber NelsonAngela CalcaterraBethany NihleanDiana TrevinoMary Van HaneghanI am requesting _____ hours of PTO leave*Leave begins at* : HH MM AM PM on date* Date Format: MM slash DD slash YYYY Leave ends at* : HH MM AM PM on date* Date Format: MM slash DD slash YYYY Current PTO balancePTO balance before the requested leave occursNotes
