Employee Time Off Request Form Template

[Company Logo]

Employee Time Off Request Form

Employee Information :
Employee Name : [Employee Name]
Employee ID : [Employee ID]
Department : [Department]
Position : [Position]

Time Off Details :

Start Date : [Start Date]
End Date : [End Date]
Total Number of Days : [Total Number of Days]
Reason for Time Off : [Reason for Time Off]

Manager Approval :
Manager Name : [Manager Name]
Manager Approval : [Approved/Not Approved]
Manager Comments : [Manager Comments]
(if any)

HR Approval :
HR Approval : [Approved/Not Approved]
HR Comments (if any) : [HR Comments]

I understand that my time off request is subject to approval by my manager

and the HR department. If my request is approved, I will make appropriate
arrangements to ensure coverage for my responsibilities during my absence. I
agree to adhere to the company's policies and procedures regarding time off.

Employee Signature : _____________________

Date : _____________________

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+62 859-3441-1834 talent.epicareer.com
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Manager Approval :
Manager Signature : _____________________
Date : _____________________

HR Approval. :
HR Signature : _____________________
Date : _____________________

[Company Name]
[Company Address]
[City, State, ZIP Code]
[Phone Number]
[Email Address]
[Website]

Dedicated Assistance
+62 859-3441-1834 talent.epicareer.com
Diana Chen
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