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Free HR form · Louisiana · Reviewed October 2026

Louisiana pto request form for employers

A PTO request form gives employees one clear way to request time off and gives managers a record of every approval. Here is what changes when the employee works in Louisiana.

Louisiana rules that affect this form

Unused vacation / PTO at separationRequired for vacation the employee has earned and is eligible to take under the employer's policy. Earned vacation cannot be forfeited at separation (La. R.S. 23:631(D)).
Paid sick leaveNo statewide mandate, and state law bars local governments from requiring sick or vacation days (La. R.S. 23:642).

What to include

  • Dates and hours requested, and the type of leave (vacation, sick, personal)
  • Current balance and balance after the request
  • Manager decision, date and reason if denied
  • Keep sick-leave requests separate where state law limits what you can ask for
  • Store approved forms with payroll records

Need a custom version?

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Frequently asked questions

Is there an official Louisiana pto request form form?

Louisiana does not publish one required pto request form for private employers. Use a clear template and make sure it reflects the Louisiana rules on this page.

Does Louisiana require paying out unused vacation?

Required for vacation the employee has earned and is eligible to take under the employer's policy. Earned vacation cannot be forfeited at separation (La. R.S. 23:631(D)).

Is paid sick leave required in Louisiana?

No statewide mandate, and state law bars local governments from requiring sick or vacation days (La. R.S. 23:642).

Other Louisiana forms

PTO Request Form by state

This page is general information for employers, not legal advice. Employment laws change and can vary by city and county. Confirm details with the state labor department or an employment attorney. Read our disclaimer.

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