PTO Request Form Template

Paid time off request — employee submits, manager approves.

Use this free pto request form template to create, fill in and sign a pto request form online. Send to the other party for a legally binding signature — tamper-evident audit trail included.

Template preview

PAID TIME OFF REQUEST

Submitted on [date] by [employee name], [employee role] at [company name].

1. Request

Type of leave: [leave type]. Start date: [start date]. End date: [end date]. Total business days requested: [days requested].

2. Reason / Notes

[reason or notes]

3. Coverage Plan

Who is covering your work: [coverage person]. Status updates / handoff: [handoff notes].

4. Balance

PTO days remaining before request: [balance before]. Remaining after approval: [balance after].

Use this PTO Request Form template →