PTO Donation Form

PTO Donation Form
Paid Time Off Donation Form
Employee Information (Donor)
Name
First NameLast Name
Employee ID
Department
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Amount of PTO to Donate
Other
Number of PTO Days to Donate
Recipient Information
Full Name of Recipient
First NameLast Name
Employee ID of Recipient (if known)
Reason for Donation
Please briefly explain why you are donating your PTO to the recipient
Please briefly describe the recipient's need for donated PTO
Acknowledgment and Consent
By signing below, I acknowledge and consent to the following:
- I voluntarily donate my PTO to the specified recipient.
- I understand that donated PTO cannot be reclaimed or reversed.
- I understand that the recipient will benefit from this donation during their time of need.
- I have not been coerced or pressured into making this donation.
Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Donor's Signature
Clear
Should be Empty:

Employee Information (Donor)