Time Off Request Form

Time Off Request Form

Please complete this Time Off Request Form Template to facilitate the evaluation and processing of employee time-off requests

Employee Name

    Employee ID

    Department

    Manager's Name

    Type of Time Off Requested

      • Vacation

      • Sick Leave

      • Personal Leave

      Start Date

        End Date

          Total Days Requested

          Reason for Time Off

          Employee Signature

          Name:

          Date:

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