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Leave Requisition Form: Employee Name Designation Department

The leave requisition form contains details of an employee's leave request including name, employee code, designation, department, requested leave dates from and to, number of days applied for, reason for leave, contact information during leave, and signatures of the employee, immediate manager, head of department, and HR representative. If leave is more than 3 days, the name and designation of the substitute arranged is also included. The form tracks the employee's leave balance and last leave availed as well as whether the requested leave will be adjusted against balance or require a salary deduction.

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supriya nayak
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73 views

Leave Requisition Form: Employee Name Designation Department

The leave requisition form contains details of an employee's leave request including name, employee code, designation, department, requested leave dates from and to, number of days applied for, reason for leave, contact information during leave, and signatures of the employee, immediate manager, head of department, and HR representative. If leave is more than 3 days, the name and designation of the substitute arranged is also included. The form tracks the employee's leave balance and last leave availed as well as whether the requested leave will be adjusted against balance or require a salary deduction.

Uploaded by

supriya nayak
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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LEAVE REQUISITION FORM

Employee Name

Employee Code

Designation

Department

LEAVE REQUEST DETAILS


From (Date)

To (Date)

Morning

Evening

No of Days Applied
IF HALF DAY

Date:

Reason for Applying

Leave
(If Leave is sanctioned)

Contact Address/ Tel


No.during Leave

Date:

Address :
Tel No.

(STD code)

No

Employee Signature

------ --

- - - - -

LEAVE Recommended / Sanctioned

Substitute Arranged:

(for Leave more than 3

days)
Name

LEAVE NOT Recommended


Leave can not be allowed for the following
reason

Designation:
Leave Allowed for

Days

From:

To:

Immediate Manager
Signature

HOD
Signature

I mmediate Manager Signature

------- ------- TO BE COMPLETED BY HR SECTION

Leave Balance;

(as on date)

Last Leave availed


Leave adjusted against balance
leave

Date:

Leave adjusted against salary


deduction

HR Representative
Signature

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