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Paid Time Off (PTO) and Flexible Workday (FLEX) Request Form
Your Employee ID
Employee ID
*
Anthony DiFilippo
Chris Guenther
Jackie Rush
James Pastuf
Jason Toole
Kenna Lynn
Lauren DiMondo
Paul Guenther
Ray Highbrown
PTO / FLEX Day Request
Leave Type
*
PTO
FLEX
Number of Days
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Day / Date Range Requested
PTO / FLEX Day Requested
*
+
PTO / FLEX Start Date (e.g. first day off)
*
+
PTO / FLEX End Date (e.g. last day off)
*
+
Notes