HR Leave Request Form

HR Leave Request Form

Please fill out this form completely to request leave from work.

Employee Information

Name

    Employee ID

      Department

        Position

          Supervisor's Name

            Leave Details

            Type of Leave

              • Vacation

              • Sick Leave

              • Personal Leave

              • Maternity/Paternity Leave

              • Bereavement

              Start Date of Leave

                End Date of Leave

                  Total Number of Leave Days

                    Reason for Leave (if applicable)

                    Please provide a brief explanation for your leave request

                      Signature

                      Name:

                      Date:

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