PTO Local Church

This form is used to request Paid Time Off (PTO). Employees should complete this form and it will be sent to your supervisor for approval prior to the requested time off. Approval status will be recorded and communicated back to the you.

Name

First Name

Last Name

Today's Date

YYYY

Event Name

Requested Time Off Dates

Reason for Request

If Other, Specify here

Additional Information

If needed

I understand that this request is subject to approval by my immediate supervisor

Please type your name below to confirm your understanding

PTO Local Church

Salem Community Church

250 Years creating community centered on Christ.