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Request For Leave

This document is a request for leave form. It requires the employee to provide their name, the type of leave being requested (sick, annual, or leave without pay), the start and end dates and times of the leave, the total hours of leave, who will handle the employee's duties during their absence, the employee's signature requesting the leave, and space for the supervisor's signature and date to approve the request.

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kmac87
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69 views1 page

Request For Leave

This document is a request for leave form. It requires the employee to provide their name, the type of leave being requested (sick, annual, or leave without pay), the start and end dates and times of the leave, the total hours of leave, who will handle the employee's duties during their absence, the employee's signature requesting the leave, and space for the supervisor's signature and date to approve the request.

Uploaded by

kmac87
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Reques t for Leave

Type of Leave: Sick: ___ Annual: ___ LWOP: ___


Name:_________________________ Date: __________

Start Date: Hour AM / PM Date


Type of Leave: Sick: ___ Annual: ___ LWOP: ___ _____:_____ __________

End Date: Hour AM / PM Date


Start Date: Hour AM / PM Date _____:_____ __________
_____:_____ __________
Total Hours of Leave: __________

End Date: Hour AM / PM Date


_____:_____ __________ Duties During My Absence Will Be Handled By:

Total Hours of Leave: __________ _____________________________________________

Signature: ____________________________________
Duties During My Absence Will Be Handled By:
Approval: Supervisor: _________________________
_____________________________________________
Date: ______________________________
Signature: ____________________________________

Approval: Supervisor: _________________________

Date: ______________________________

Re quest for Leav e

Name:_________________________ Date: __________

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