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11311 Hampshire Ave. S. Bloomington MN 55438 952-944-5800 FAX 952-392-6987 PTO Cash Payout Request Form Eligible employees may request a cash payout on earned PTO. A maximum of one 1 request per year per employee will be allowed. If you have questions about the PTO cash payout rules or about your PTO balance please contact Jen or Kathy in Payroll. To Be Completed by Employee Please Print Employee Name Number of Hours Requested to be Paid Out I understand the payout will be included with a regular paycheck and is subject to all state and federal taxes as well as any other applicable withholdings e.g. child support maintenance bankruptcy payments etc. Signature Date Please submit completed form to Payroll by email fax or mail. FOR PAYROLL USE ONLY Date Received Check Date Pay Period Ending A Certified Company E-mail To HR. Current Regular Full-Time employees who have been in General Parts employ for at least one year and who have an earned PTO balance are eligible to make a request. Eac....

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How to fill out the CFESA PTO Cash Payout Request online

Completing the CFESA PTO Cash Payout Request is an essential process for eligible employees wishing to receive cash for earned paid time off (PTO). This guide provides clear, step-by-step instructions to help users fill out the form accurately and efficiently.

Follow the steps to complete your PTO cash payout request.

  1. Click ‘Get Form’ button to obtain the form and open it for completion.
  2. In the section labeled 'To Be Completed by Employee', begin by entering your full name where it states 'Employee Name'. Ensure accuracy to avoid any processing delays.
  3. Next, input your employee number in the designated field. This number helps identify your employment record within the organization.
  4. Then, indicate the number of hours you are requesting to be paid out. Remember, you may only request a maximum of eighty hours of earned PTO.
  5. Review the statement regarding the payout's inclusion with a regular paycheck. Acknowledge that all payouts will be subject to state and federal taxes as well as any other applicable withholdings by checking the box or otherwise indicating your understanding.
  6. Sign the form in the section labeled 'Signature' to validate your request, confirming that all provided information is correct.
  7. Finally, enter the date of completion in the 'Date' field. After filling out the form, you can save changes, download, print, or share the completed request with Payroll via email, fax, or mail.

Complete your CFESA PTO Cash Payout Request online to ensure timely processing of your payout.

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© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232