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Leave Form

This document is a leave request form template. It contains fields for employee information, type of leave requested, dates of leave, and approval signatures.

Uploaded by

Jemmens Costales
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
14 views

Leave Form

This document is a leave request form template. It contains fields for employee information, type of leave requested, dates of leave, and approval signatures.

Uploaded by

Jemmens Costales
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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LEAVEREQUEST ERM-

LRFRM-
05
FORM Rev
isi
onCode:00 Page1of1
Eff
ecti
vi
tyDat
e:Oct
ober18,
2019

EMPLOYEE DATEHIRED
EMPLOYEENO. DEPARTMENT
POSI
TION DATEFILED

Leav
eAppl
i
ed: Reason:
___
_____
___
___
___
___
___
___
___
___
___
___
VacationLeav e Si
ckLeav e ___
_____
___
___
___
___
___
___
___
___
___
___
Off
icialBusiness Leavewithoutpay ___
_____
___
___
___
___
___
___
___
___
___
___
MaternityLeave Pater
nit
yLeave ___
_____
___
___
___
___
___
___
___
___
___
___
BereavementLeav e

No.ofDay
s:

LEAVEDURATI
ON
FROM TO
Dat
e: Dat
e:
Ti
me __
___
___
___
___
___
___
___
___
___
___
_ Ti
me __
___
___
___
___
___
___
___
___
___
___
_

Request
edby Appr
ovedby

_
___
____
______
____
___
______
___ _
___
____
______
____
____
___
___
__
Employ
ee’sSi
gnatur
e Approv
er’sSi
gnat
ure

LEAVEREQUEST ERM-
LRFRM-
05
FORM Rev
isi
onCode:00 Page1of1
Eff
ecti
vi
tyDat
e:Oct
ober18,
2019

EMPLOYEE DATEHIRED
EMPLOYEENO. DEPARTMENT
POSI
TION DATEFILED

Leav
eAppl
i
ed: Reason:
___
_____
___
___
___
___
___
___
___
___
___
___
VacationLeav e Si
ckLeav e ___
_____
___
___
___
___
___
___
___
___
___
___
Off
icialBusiness Leavewithoutpay ___
_____
___
___
___
___
___
___
___
___
___
___
MaternityLeave Pater
nit
yLeave ___
_____
___
___
___
___
___
___
___
___
___
___
BereavementLeav e

No.ofDay
s:_
___
___
___
___

LEAVEDURATI
ON
FROM TO
Dat
e: : Dat
e::
Ti
me ____
___
___
___
___
___
___
___
___
___
__ Ti
me _ _
___
___
___
___
___
___
___
___
___
___
_

Request
edby Appr
ovedby

_
___
____
______
____
___
______
___ _
___
____
______
____
____
___
___
__
Employ
ee’sSi
gnatur
e Approv
er’sSi
gnat
ure

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