Paid Time Off Carryover Policy Acknowledgment
Please review your organization's PTO carryover policy and acknowledge your understanding and agreement below.
Employee Full Name
*
First Name
Last Name
Employee ID
*
Department
*
Please Select
Human Resources
Finance
Operations
IT
Sales
Marketing
Other
Job Title
*
Supervisor/Manager Name
*
First Name
Last Name
Work Email Address
*
example@example.com
Current PTO Balance (hours)
*
Are you requesting to carry over unused PTO to the next period?
*
Yes
No
PTO Carryover Policy
Date of Acknowledgment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Employee Signature
*
Acknowledge Policy
Acknowledge Policy
Should be Empty: