Axcelis PTO/Sick Time Off Request

The Axcelis employee MUST complete, sign and return this “PTO/Sick Time Off Request” form in order to be paid for sick leave or PTO.

I attest that I used earned sick time for the authorized reason(s) checked below:
For PTO please provide manager approval:
Please provide the dates of your time off.
Signature is required.
reCAPTCHA is required.