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    Employee Paid Time Off Request Form

    Cord of Three Paid Time Off Policy:
    Cord of Three sets aside two weeks of vacation time for employees each year.  Those times are preset in our annual calendar.
    In addition, employees are able to ask for up to two additional weeks (80 hours) of Paid time off upon the following conditions are met:
       1.  The employee has provided a minimum of 80 clinical hours in the pay period just prior to the dates of request for paid time off.
             i.e.  if the time off request is for July 8-10, then the timesheet from which you received your paycheck dating May 16-June 15 would be looked                  at to determine if 80 clinical hours were provided.  If that time sheet reflects a minimum of 80 clinical hours, then the PTO will be                              approved.  If not, then the PTO will not be approved.
       2.  The employee is not allowed to take two consecutive weeks in a row off without prior consent of the Executive Director.