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Leave Request Form

The document outlines the process for submitting a leave request, which includes filling out a form and obtaining approval from a direct manager and HR. It requires accurate employee and leave details, along with a signature confirming the information is correct. The employer will then provide a decision on the request, which is documented for records.
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0% found this document useful (0 votes)
16 views2 pages

Leave Request Form

The document outlines the process for submitting a leave request, which includes filling out a form and obtaining approval from a direct manager and HR. It requires accurate employee and leave details, along with a signature confirming the information is correct. The employer will then provide a decision on the request, which is documented for records.
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

Leave Request Form

How to submit a leave request


1. Fill out the leave request form with accurate details.
2. Submit the form to your direct manager for approval, with HR copied (CC) on the email.
3. Once approved, HR will verify and process the request.
4. HR will provide a copy of the approved request for your records.

Employee details

Employee name Department


Manager/Supervisor
Job title
name

Leave request details

Leave request [Number] Days Hours

Starting on [MM/DD/YYYY] Ending on [MM/DD/YYYY]

Reason for leave request


Vacation Family Reasons Jury Duty
Personal Leave Medical Leave To Vote
Parental Leave Funeral/Bereavement Other:

I confirm that the information provided in this leave request form is accurate and complete.
I understand that this request is subject to approval by my employer.

Employee signature

Date [MM/DD/YYYY]

Notes and comments (Optional)

Employer’s decision

Approved Rejected

Employer representative signature

Date [MM/DD/YYYY]

Notes and comments (Optional)

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