LEAVE APPLICATION FORM
P E R S O N A L CO P Y
Name Date Filed
Department/Congregation
Type of Leave Duration of Leave
From To
• Regular Paid Leave
Previous
Balance
No. of
Days
Current
Balance
Reason
✔ Vacation Leave (15)
Sick Leave (15)
• Parental Leave • Special Leave
Submitted by: Approved by: Noted by:
Maternity (60/78) Wedding (3)
Paternity (7) Bereavement (5)
Solo Parent (7) Ten Days Missions Employee Immediate Supervisor Human Resources
Leave (5) Instructions:
1. Accomplish two (2) copies of this leave form: one (1) personal copy and one (1) Human Resources
• Others (HR) Department copy.
2. This Leave Form must be filled out at least 3 days before the scheduled Vacation Leave or 3 days after
in case of Sick Leave.
Leave Without Pay 3. Have both copies signed by you, your immediate supervisor, and your congregation’s HR Coordinator
Offset for: or the designated HR representative.
4. Give the HR Department Copy to your congregation’s HR Coordinator or the HR Department.
Keep the other copy on file.
Updated as of May 7, 2018
LEAVE APPLICATION FORM
H U M A N R E S O U R C E S D E PA R T M E N T CO P Y
Name Date Filed
Department/Congregation
Type of Leave Duration of Leave
From To
• Regular Paid Leave
Previous
Balance
No. of
Days
Current
Balance
Reason
✔ Vacation Leave (15)
Sick Leave (15)
• Parental Leave • Special Leave
Submitted by: Approved by: Noted by:
Maternity (60/78) Wedding (3)
Paternity (7) Bereavement (5)
Solo Parent (7) Ten Days Missions Employee Immediate Supervisor Human Resources
Leave (5) Instructions:
1. Accomplish two (2) copies of this leave form: one (1) personal copy and one (1) Human Resources
• Others (HR) Department copy.
2. This Leave Form must be filled out at least 3 days before the scheduled Vacation Leave or 3 days after
in case of Sick Leave.
Leave Without Pay 3. Have both copies signed by you, your immediate supervisor, and your congregation’s HR Coordinator
Offset for: or the designated HR representative.
4. Give the HR Department Copy to your congregation’s HR Coordinator or the HR Department.
Keep the other copy on file.
Updated as of May 7, 2018