PTO Carryover Agreement Form
Request and approval form for carrying over unused Paid Time Off (PTO) to the next period.
Employee Full Name
*
First Name
Last Name
Employee ID
*
Department
*
Please Select
Human Resources
Finance
Operations
IT
Sales
Marketing
Other
Supervisor/Manager Name
*
Current PTO Balance (in hours)
*
Amount of PTO Requested for Carryover (in hours)
*
Reason for PTO Carryover Request
*
Requested Carryover Effective Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Management Approval Status
*
Approved
Denied
Pending
Comments (Manager/HR)
Employee Signature
*
Submit PTO Carryover Request
Submit PTO Carryover Request
Should be Empty: