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Leave

The document is an employee leave request form that collects an employee's name, department, supervisor, reason for leave such as vacation or sick leave, the dates and times of requested leave, the employee's signature, and a section for the supervisor's approval and comments.

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Shergul Khan
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187 views1 page

Leave

The document is an employee leave request form that collects an employee's name, department, supervisor, reason for leave such as vacation or sick leave, the dates and times of requested leave, the employee's signature, and a section for the supervisor's approval and comments.

Uploaded by

Shergul Khan
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
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Employee Leave Request Form

Employee Name Date


Department Supervisor Name

REASON FOR LEAVE

Vacation Civil Leave /Jury Duty Military

Sick - Self Sick - Family Sick – Dr. Appointment

Worker’s Comp Family and Medical For

Leave of Absence Funeral – Relationship:

Other

LEAVE REQUESTED

From Time a.m/p.m Total Number of Hours Requested


To Time a.m/p.m Total Number of Days Requested
Other

Employee Signature Date

SUPERVISOR USE ONLY

Comments:

Approved By:

Supervisor Signature Date

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