Voluntary Time Off (VTO) Request Form

Voluntary Time Off (VTO) Request Form Employee Information • Employee Name: ______________________________________________ • Employee ID (if applicable): _________________________________ • Department: ________________________________________________ • Supervisor/Manager: ________________________________________ VTO Request Details • Date(s) Requested for VTO: __________________________________ • Total Hours Requested: ______________________________________ • Reason for VTO (optional): __________________________________ Employee Acknowledgment I understand that Voluntary Time Off and subject to company approval based on business needs. I acknowledge that VTO may not be counted toward hours worked for overtime purposes and may affect accruals or benefits as outlined in company policy. *See benefits guide for more details on VTO policy. • Employee Signature: ____________________________ • Date: _____________________ Manager Review • ☐ Approved • ☐ Denied If denied, reason: _____________________________________________ • Manager Signature: ____________________________ • Date: _____________________