Employee Paid Time Off Policy Form

Information you will need

• When must a PTO request be put in?
• When are seasonal restrictions mandated? (if applicable)
• When are blackout dates mandated? (if applicable)
• Is there a cap on accrued PTO?
• Will unused PTO be paid out?
• What's the reinstatement policy?
• What's the maximum PTO an employee can accrue? (if applicable)
• What’s the accrual rate during the probation period? (if applicable)
• Can employees carry over unused vacation PTO?
• How many hours of unused vacation PTO may be carried over?
• How many hours of unused sick leave PTO may be carried over?
• Can employees carry over unused Sick leave PTO?
• Is carry over prohibited?
• Are there any other terms and conditions regarding PTO?
• Within how much time following separation will reinstatement of PTO apply?
• When are new employees eligible for PTO?
• Are certain full time employees eligible?
• How much time required for eligibility?
• Are certain part time employees eligible?
• How many hours per week is required?
• How much continuous employment is required?
• How many hours of PTO will employees receive? (if applicable)
• How many hours of PTO will accrue?
• How many hours would need to be worked?

…and 9 more fields in the PDF.

Completed by the employee.