Time Off Confirmation Form Name* First Last Email* My Supervisor is:*CindyCristineIanTerrelYour supervisor will be notified via email after submission of this form. They will notify you with approval PTO hours used for official record.Reason for Time Off* PTO Parental Leave Bereavement Leave Jury Duty Voting Please see Employee Handbook for all types of leave.Actual Leave Start Date* MM slash DD slash YYYY Actual Leave End Date* MM slash DD slash YYYY Total Requested PTO Hours*Total Used PTO Hours*Comments