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Time Off Mandates
There are no federal laws regarding the amount of paid time off (PTO) or unpaid time off that an employee must receive.[1] However, the Family and Medical Leave Act (FMLA) states that employees working for a covered employer can take up to 12 unpaid weeks off in 12 months without risking their position.[2]
The qualifying reasons for time off include:
- The employee has a significant health problem.
- The birth of a baby or their care.
- Foster care or adoption placement.
- The employee’s parent, spouse, or child has a serious medical issue.
- The employee has urgent requirements related to the military deployment of a family member.
Sample
EMPLOYEE INFORMATION
Employee Name: [EMPLOYEE NAME] Department: [EMPLOYEE DEPARTMENT]
Total Days Off: [TOTAL # DAYS OFF] Total Hours Off: [TOTAL # HOURS OFF]
Beginning On: [MM/DD/YYYY] Ending On: [MM/DD/YYYY]
TIME OFF REQUESTED
Type of Leave:
☐ – Vacation
☐ – Personal Leave
☐ – Sick Leave
☐ – Jury Duty
☐ – Family Leave
☐ – Funeral/Bereavement
☐ – To Vote
☐ – Other: [REASON FOR TIME OFF]
Employee Comments: [EMPLOYEE ADDITIONAL COMMENTS]
I understand that this request is subject to approval by my employer.
Employee Signature: _____________________________ Date: ____________
SUPERVISOR INFORMATION
Supervisor Name: [SUPERVISOR NAME]
☐ – Time off approved
☐ – Time off denied
Supervisor Comments: [SUPERVISOR ADDITIONAL COMMENTS]
Supervisor Signature: _____________________________ Date: _____________