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West Palm Beach
Time Off Request Form
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PTO Available
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Vacation Available
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PTO Used
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Vacation Used
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Anniversary Date
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This account doesn't have PTO/Vacation benefits — you can request Unpaid Time Off (UTO).
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Important: Include Weekends in Your Request
When selecting your dates,
make sure to include Saturdays and Sundays
in your total time off period. The system will automatically calculate the total days including weekends.
Time Off Dates
⏰ This is a partial day (less than 8 hours)
Check this if you're only taking a few hours off on a single day
❌ End date must be on or after start date. Please correct the dates.
⚠️ For partial days, total hours must be less than 8 hours
Total Days Out
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Return to Work Date
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Request Type(s) & Hours
Add one or more request types with their corresponding hours
Select type...
PTO (Paid Time Off)
Vacation
Funeral/Bereavement Leave
Jury Duty
UTO (Unpaid Time Off)
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+ Add Another Request Type
⚠️ Hours Exceeds Limit:
⚠️ Not Enough Balance
Convert excess hours to UTO
Comments
Optional
I understand and acknowledge that this time-off request is subject to management approval and is not guaranteed. I agree to not make any travel arrangements, purchase tickets, or finalize any plans until I receive official written approval from my supervisor. I understand that submitting this form does not constitute approved time off.
Submit Request
Developed by
Julio Maya
v2.0 · ©
2026
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