PTO Request

PTO Request Form

Please fill out this form to request using your accrued Paid Time Off (PTO).

Once submitted, the form will go directly to the payroll department and will be paid out during the pay period indicated by "start date" and "end date" entered on the form.
**TIME OFF MUST BE PRE-APPROVED BY GENERAL MANAGER OR DIRECTOR**
Employee Name*

First NameLast Name
Email
What area is the restaurant located in?*

Madison AreaBeloit AreaRockford AreaHuntley AreaSupervisors/Tech/Fixit/Office Staff
Madison Area Restaurant*
Beloit Area Restaurant*
Rockford Area Restaurant*
Huntley Area Restaurant*
Directors/Tech/Fixit/Office Staff*
Select your position from the dropdown.*
Would you like to use your swing bonus PTO or regular?

BonusRegular
Would you like to use your DM bonus PTO or regular?

BonusRegular
Would you like to use your GM bonus PTO or regular?

BonusRegular
Would you like to use your Director bonus PTO or regular?

BonusRegular
NUMBER OF REGULAR HOURS CURRENTLY AVAILABLE
*check your PTO BANK in Paycor to ensure you have enough hours
NUMBER OF SWING BONUS HOURS CURRENTLY AVAILABLE
*check your PTO BANK in Paycor to ensure you have enough hours
NUMBER OF DM BONUS HOURS CURRENTLY AVAILABLE
*check your PTO BANK in Paycor to ensure you have enough hours
NUMBER OF GM BONUS HOURS CURRENTLY AVAILABLE
*check your PTO BANK in Paycor to ensure you have enough hours
NUMBER OF DIRECTOR BONUS HOURS CURRENTLY AVAILABLE
*check your PTO BANK in Paycor to ensure you have enough hours
NUMBER OF HOURS TAKING*
START DATE

MonthDayYear
END DATE

MonthDayYear
Signature

Clear
If submit button is missing, please be sure the form is complete and you have selected the right store number.
Should be Empty:

PTO Request Form

**TIME OFF MUST BE PRE-APPROVED BY GENERAL MANAGER OR DIRECTOR**

If submit button is missing, please be sure the form is complete and you have selected the right store number.

TIME OFF MUST BE PRE-APPROVED BY GENERAL MANAGER OR DIRECTOR