Free Simple Petition Form Template

Business Time Off Request Form 

Please ensure all sections are completed accurately and submit this form to your manager/supervisor for approval at least [Number of Days] days prior to the requested time off.

I. Employee Information

Employee Details

Name

 

Email

 

Department

 

Position

 

Contact Information

 Phone Number  Emergency Contact  

II. Time Off Details

Type of Time Off Requested

    • Vacation

    • Personal Day

    • Sick Leave

    • Bereavement Leave

    • Jury Duty

    Others (please specify)

     

    Dates Requested

     Start Date  - End Date  

     Total Days Requested 

    III. Reason for Request

    Provide a brief explanation for the time off request

      IV. Optional Comments

      Additional information or special instructions

        V. Acknowledgment and Signature

        Employee Acknowledgment

        I acknowledge that the information provided is accurate to the best of my knowledge and understand that this request is subject to approval based on [Your Company Name]’s policies.

         Employee's Full Name 

         Date 

        Manager/Supervisor Approval

          • Approved

          • Denied

          Reason for Denial (if applicable)

           

           Manager/Supervisor's Full Name 

           Date 

          VI. For HR Department Use Only

           Date Received 

          Processed by

           

          Additional Comments

           

          For any questions, please contact the HR department at [Your Company Email] or visit [Your Company Website].

          Time Off Request Form Templates @ Template.net