Sabbatical/PTO Payout Form

Sabbatical/PTO Payout Form
Name*

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

Beloit areaMadison areaRockford areaHuntley areaStaff
Beloit restaurant
Madison restaurant
Rockford restaurant
Huntley restaurant
Date

MonthDayYear
Sabbatical
Amount of hours to transfer to your sabbatical. (Max. 18)
PTO Payout
Amount of hours you are requesting to payout. (Max. 36)
Do you want to use your Bonus or Regular PTO?

Bonus PTORegular PTO
Employee Signature*

Clear
Should be Empty: