[Firm Name]
PERSONAL TIME OFF REQUEST and APPROVAL
EMPLOYEE’S NAME:
Dates Requested – please submit separate requests for multiple periods:
Is this PTO or comp time?
Available Time:
PTO Comp Time
Comments:
Employee’s Signature _________________________________Date_________
Approval Signature(s)__________________________________Date_________
Instructions: Complete section regarding available time, which should reflect anticipated
accrual at period when time off is requested. The comment section should include
remarks as to how time sensitive responsibilities will be covered in your absence. Obtain
approval from your direct supervisor and the shareholder(s) or firm administrator you’re
working with most closely before submitting to [Name]. Once you have obtained approval
the process is complete unless you are advised to the contrary within 5 days due to
scheduling conflicts.