PTO Request Form

Lakeshore Talent Paid Time Off (PTO) Request Form

Only those employees who have enrolled in our PTO/Holiday Pay Benefit will be eligible to receive PTO. If you have enrolled in this plan, you must request approval from your supervisor. Once approved, you must send this document, signed by both you AND the employer, to Alli King Howes (

Please complete the details below:

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.

For Lakeshore Talent Employee: By signing below, I am requesting to use my accrued PTO through Lakeshore Talent. If it is found that I do not have enough PTO accrued through Lakeshore Talent or I am not signed up for PTO benefits, I understand Lakeshore Talent will contact me directly and I will not be paid PTO.

For Employers: By signing below, I approve the Lakeshore Talent Employee to take the days requested above as PTO paid by Lakeshore Talent. I understand I will not be billed for these hours and the Lakeshore Talent employee will be returning the first business day after the last day of PTO requested.

Statement of Privacy
This document contains sensitive and proprietary information concerning strategic nature of Lakeshore Talent and is not intended for public use