TIME OFF REQUEST FORM

Employee name: _______________________________________
Department: __________________ Employee ID: __________
Request date: ________________________________________

Leave type: Vacation / Personal / Sick / Other
Start date: __________ End date: __________
Total workdays / hours requested: ____________________
Reason or notes (optional): __________________________

Coverage / handover notes: ___________________________
_________________________________________________

Employee signature: __________________ Date: _________
Manager decision: Approved / Denied / Pending
Manager signature: __________________ Date: __________