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Leave Form

The document is a leave form template with fields for employee name, department, social security number, type of leave request, reason for leave, start and end dates, address and phone during leave, special circumstances, employee and processing officer signatures and approval.

Uploaded by

rap lee
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
19 views

Leave Form

The document is a leave form template with fields for employee name, department, social security number, type of leave request, reason for leave, start and end dates, address and phone during leave, special circumstances, employee and processing officer signatures and approval.

Uploaded by

rap lee
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Name of Employee: Date Request:

Department: Social Security


Number:
Category Of Leave
Request:
Paid Leave Unpaid Leave
Other ( Explain) :
Reason for Leave:
Other ( Explain) :
Start Date of leave: End Date of
Leave:
Address During Leave: Phone Number
during Leave:
If Special Circumstances
Explain:
Employee Signature Date:
Processing Officer: Date:
Approved by:
Remarks:
LEAVE FORM
Name of Employee: Date Request:
Department: Social Security
Number:
Category Of Leave
Request:
Paid Leave Unpaid Leave
Other ( Explain) :
Reason for Leave:
Other ( Explain) :
Start Date of leave: End Date of
Leave:
Address During Leave: Phone Number
during Leave:
If Special Circumstances
Explain:
Employee Signature Date:
Processing Officer: Date:
Approved by:
Remarks:

Admin’s Copy
Name of Employee: Date Request:
Department: Social Security
Number:
Category Of Leave
Request:
Paid Leave Unpaid Leave
Other ( Explain) :
Reason for Leave:
Other ( Explain) :
Start Date of leave: End Date of
Leave:
Address During Leave: Phone Number
during Leave:
If Special Circumstances
Explain:
Employee Signature Date:
Processing Officer: Date:
Approved by:
Remarks:
LEAVE FORM

Name of Employee: Date Request:


Department: Social Security
Number:
Category Of Leave
Request:
Paid Leave Unpaid Leave
Other ( Explain) :
Reason for Leave:
Other ( Explain) :
Start Date of leave: End Date of
Leave:
Address During Leave: Phone Number
during Leave:
If Special Circumstances
Explain:
Employee Signature Date:
Processing Officer: Date:
Approved by:
Remarks:
Employee’s Copy

Name of Employee: Date Request:


Department: Social Security
Number:
Category Of Leave
Request:
Paid Leave Unpaid Leave
Other ( Explain) :
Reason for Leave:
Other ( Explain) :
Start Date of leave: End Date of
Leave:
Address During Leave: Phone Number
during Leave:
If Special Circumstances
Explain:
Employee Signature Date:
Processing Officer: Date:
Approved by:
Remarks:

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