Example Of Leave Form
Example Of Leave Form
Employee Information:
Employee Name:
Employee ID:
Department:
Position:
Phone Number:
Email Address:
Leave Details:
Type of Leave: (Select one or specify)
☐ Vacation/Paid Time Off (PTO)
☐ Sick Leave
☐ Personal Leave
☐ Bereavement Leave
☐ Family Leave
☐ Other (Please specify): ___________
Dates of Leave:
Start Date: [Date]
End Date: [Date]
Total Number of Days: [Number] Days
Reason for Leave (Optional – be specific only if required by company policy or for certain leave types):
Coverage During Leave (If applicable):
Work to be Covered By:
☐ [Coworker Name]
☐ [Team/Department]
☐ Will be completed before leave
☐ Other: __________________________
Contact Information (if different from above): ________________________
Employee Signature: _________________________ Date: __________
Supervisor Approval:
☐ Approved ☐ Denied
Supervisor Signature: _________________________ Date: __________
Comments: ___________________________________________________________
[For HR Use Only]
Leave Balance (Before): ______ Days
Leave Approved: ______ Days
Leave Balance (After): ______ Days
Processed by: _________________________ Date: __________
Important Considerations:
-Company Policy: Adhere to your company’s specific leave policies and procedures.
-Required Documentation: Attach any necessary documents (e.g., doctor’s note for sick leave).
-Submission Timelines: Be mindful of any required lead time for submitting leave requests.
-Digital Forms: Many companies use online HR platforms or systems for leave requests. Check with your HR department for their preferred method.
Example Of Leave Form :
Example Of Leave Form was posted in June 11, 2017 at 3:12 am. If you wanna have it as yours, please click the Pictures and you will go to click right mouse then Save Image As and Click Save and download the Example Of Leave Form Picture.. Don’t forget to share this picture with others via Facebook, Twitter, Pinterest or other social medias! we do hope you'll get inspired by SampleTemplates123... Thanks again! If you have any DMCA issues on this post, please contact us!
Related For Example Of Leave Form
Petty Cash Form Template
Petty Cash Form Template Managing small, everyday expenses can
Patient Complaint Form PDF Format
Patient Complaint Form PDF Format Product Backlog Template ExcelStreet
Child Care Authorization Form Templ
Child Care Authorization Form Template Comprehensive Resume SampleEd Phillips