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Employee Time Off Request Form

This employee time off request form allows an employee to request time off from work by providing their name, manager's name, dates of requested time off, and reason for the request. The employee signs to acknowledge the request is subject to employer approval. The employer then signs with their decision to either approve or reject the request and the date.

Uploaded by

Aleksandr Cepelev
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© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
83 views1 page

Employee Time Off Request Form

This employee time off request form allows an employee to request time off from work by providing their name, manager's name, dates of requested time off, and reason for the request. The employee signs to acknowledge the request is subject to employer approval. The employer then signs with their decision to either approve or reject the request and the date.

Uploaded by

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

Employee Time Off Request Form

Employee’s Name: _______________________________________________________

Employee’s Manager: _______________________________________________________

Time-Off Request: ___________ 𝤿 Days 𝤿 Hours

Beginning on: _______________________________________________________

Ending on: _______________________________________________________

Reason for Request

𝤿 - Vacation 𝤿 - Personal Leave 𝤿 - Funeral / Bereavement

𝤿 - Jury Duty 𝤿 - Family Reasons 𝤿 - Medical Leave

𝤿 - To Vote 𝤿 - Other: _______________________

I understand that this request is subject to approval by my employer.

Employee’s Signature:______________________________________________ Date:_____________________________

_________________________________________________________

Employer’s Decision

𝤿 - Approved 𝤿 - Rejected

Employer’s Signature: _______________________________________________ Date: ___________________________

Print Name: ___________________________

© AIHR | Analytics in HR B.V. 2020. All rights reserved

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