Vacation Request - 01

 

 

Vacation / Leave Request Form

 

 

Instructions:

To request Vacation or Leave manually

1.                  Submit the completed form to your manager for approval.

1.     In the space for the “Employee Signature” put your name.

2.     If your manager approves, they will indicate as ‘Approved’, enter their name in the space for ‘Manager Signature’ and forward to you and the Human Resources department.

 

Employee Name

 

Vacation / Floating Holiday Requested
	Dates / Hours Requested			Days / Hours Accumulated		Days / Hours Remaining

 

Medical / Sick Leave Requested
	Dates / Hours Requested		Days / Hours Accumulated		Days / Hours Remaining

 

Personal Leave Requested
	Dates Requested		Estimated Return Date		Reason

 

Employee Signature									Date
Approved	Yes					No
Comments
Manager Signature									Date