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Employee Time Off Request Form

The document is an Employee Time-Off Request Form that allows employees to request time off for various reasons such as vacation, personal leave, or medical leave. It includes sections for the employee's information, the duration of the request, and the employer's decision on approval. The form requires signatures from both the employee and the employer to validate the request.

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adriaanjbrgr
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Download as DOCX, PDF, TXT or read online on Scribd
1 views

Employee Time Off Request Form

The document is an Employee Time-Off Request Form that allows employees to request time off for various reasons such as vacation, personal leave, or medical leave. It includes sections for the employee's information, the duration of the request, and the employer's decision on approval. The form requires signatures from both the employee and the employer to validate the request.

Uploaded by

adriaanjbrgr
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Employee Time-Off Request Form

Today’s Date: ________________________

Employee’s Name: ________________________

Time-Off Request: _____ ☐ Days ☐ Hours

Beginning on: ________________________

Ending on: ________________________

Reason for Request


☐ - Vacation ☐ - Personal Leave ☐ - Funeral / Bereavement

☐ - Jury Duty ☐ - Family Reasons ☐ - Medical Leave

☐ - To Vote ☐ - Other: _____________________________________

I understand that this request is subject to approval by my employer.

Employee’s Signature: ________________________ Date: ___________

-------------------------------------------------------

Employer’s Decision
☐ - Approved ☐ - Rejected

Employer’s Signature: ________________________ Date: ____________

Print Name: ________________________

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