Employee Request For Time Off Employee Name* Jensen Paterson Mike Thomson Brian Hunt Jeff Christensen Chris Hutchens Michael McCubbin Shanette Bernal Reason For Time Off*Time Off Start Date* MM slash DD slash YYYY Time Off End Date* MM slash DD slash YYYY Time Slots You Want Off (If Wanting a 1/2 Day) 9 am – 12 pm 12 pm – 3 pm 3 pm – 6 pm How Many Days, if Any, Are Paid-Time-Off That You Want to Use?* NotesAdditional Notes About Times You Want Off On These Days or PTO vs Non-PTO use