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Request Time Off

Form for employees to request time off work








Time Off Request


Use this form to manage and document employee's requests for time off work. The template includes space for the employee to indicate the time requested, reason for the request plus any comments they want to add. The supervisor review the request is provided space to approve, disapprove or modify the requested time off along with a section for comments to provide an explanation.

EMPLOYEE REVIEWED BY
NAME NAME
POSITION POSITION
DATE SUBMITTED DATE REVIEWED
TYPE OF REQUEST
Vacation Appointment (doctor, dentist, etc)
Personal holiday Bereavement/Funeral leave
Sick time Leave of absence
FMLA time Compensated days
Jury duty Leave without pay
Military leave Other - Explain:
EMPLOYEE COMMENTS
STATUS OF TIME OFF REQUEST
SUPERVISOR COMMENTS






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