Scribd
Upload
778 views1 page

Time Off Request Form

This time off request form allows an employee to request time off from work and specify the dates, number of days/hours requested, and reason for the request. The employee fills out their name, department, dates needed, and selects the reason for request from options like paid time off, sick leave, maternity leave, or other. The employer then reviews and either approves or rejects the request, signing and dating the decision.

Uploaded by

HRM Services
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
778 views1 page

Time Off Request Form

This time off request form allows an employee to request time off from work and specify the dates, number of days/hours requested, and reason for the request. The employee fills out their name, department, dates needed, and selects the reason for request from options like paid time off, sick leave, maternity leave, or other. The employer then reviews and either approves or rejects the request, signing and dating the decision.

Uploaded by

HRM Services
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

TIME OFF REQUEST FORM

TO BE COMPLETED BY EMPLOYEE:
-------------------------------------------------------------------

Date: _____________________

Employee’s Name: _______________________________

Department/Title: _______________________________

Time off Request: ______ ☐Days ☐Hours

Beginning on: ____________________________

Ending on: _____________________________

Reason for Request

☐Paid time off ☐Compassionate leave

☐Sick Leave ☐Home Office

☐Unpaid time off ☐Maternity Leave

☐Vacation ☐Time off in lieu

☐Other ________________________________________________

Date: ______________________________

Employee’s signature: ______________________________

TO BE COMPLETED BY EMPLOYER:
-------------------------------------------------------------------

Employer’s Decision

☐Approved ☐Rejected

Date: ______________________________

Employer’s signature: ______________________________

You might also like