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Get CFESA PTO Cash Payout Request

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. Each cash payout request may be made for a maximum of eighty 80 hours and only PTO hours that have already been earned will be paid out. 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. Each cash payout request may be made for a maximum of eighty 80 hours and only PTO hours that have already been earned will be paid out. .

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Keywords relevant to CFESA PTO Cash Payout Request

  • enrollment
  • hr
  • withholding
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