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PTO Request Form Template

Streamline Your Employee Time-off Requests with Ease

Submitting a paid time off (PTO) request shouldn't be a hassle, but many employees find the process complex and confusing. This PTO request form template simplifies the request process for you and your team, ensuring approvals are swift and straightforward. It facilitates clear communication, keeps requests organized, and maintains a record for management, making tracking easier, boosting team morale, and ultimately enhancing productivity. Experience the efficiency of this live template and see how it can improve your PTO management.

Employee full name
Employee ID
Department
Work email
Manager or supervisor name
PTO type
Vacation
Personal leave
Sick leave
Family or medical leave
Parental leave
Bereavement leave
Jury duty
Other (specify below)
Start date
End date
Total time requested (hours or days)
If intermittent, provide dates/times or expected pattern
Additional context (optional)
Leave pattern
Continuous (consecutive days)
Intermittent (separate dates or times)
Coverage plan status
Coverage arranged and confirmed
Coverage partially arranged
Coverage not yet arranged
Not applicable
Temporary point of contact during your absence (name and contact, optional)
Preferred contact during leave (select all that apply)
Email
Phone
Text/SMS
Do not contact unless urgent
Is this request related to a protected leave (e.g., FMLA/ADA)?
Yes
No
Unsure
Prefer not to say
I certify that the information provided is accurate to the best of my knowledge.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Employee signature (type your full name)
Signature date
I understand that PTO requests are subject to company policy and business needs, and may require manager approval.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
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paper art illustration depicting a PTO request form with stylized elements and vibrant colors for a website article

When to use this form

Use this form when you or your team member needs paid time off for planned vacations, personal days, or appointments. It helps you set clear dates, share coverage plans, and get fast approval so staffing stays balanced. Submit it for long weekends, a week away, or half-day medical visits. For new parents, use the Parental leave request form instead. If the absence is due to illness, the Sickness leave form is a better fit. When coworkers donate hours to help someone in need, direct them to the PTO Donation form. The result: fewer back-and-forth messages, a trackable record, and a smooth handoff while you are away.

Must Ask PTO Request Questions

  1. What dates and times are you requesting off?

    Precise start and end times help managers plan coverage, avoid schedule conflicts, and update calendars. It also clarifies shift impacts and time zones for distributed teams.

  2. How many PTO hours will you use for this request?

    Stating the hours keeps payroll and accruals accurate. It prevents overdrawing balances and speeds up approval.

  3. What is the reason for your time off?

    Knowing the reason routes the request to the right policy and approver. For jury duty or similar cases, you may need the Excused absence form instead.

  4. Who will cover your critical tasks while you are out?

    Listing owners for key work keeps projects moving and reduces escalations. It gives your manager confidence that service levels will hold.

  5. How can we contact you in an urgent situation?

    Sharing a preferred channel and time window protects your boundaries while enabling true emergencies to reach you. It also avoids delays if approvals or handoffs need a quick response.

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