Scribd
Upload
38 views

Leave Absence Form

leave of absence form

Uploaded by

GONZALES, JULIE ANN, S.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
38 views

Leave Absence Form

leave of absence form

Uploaded by

GONZALES, JULIE ANN, S.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

LEAVE ABSENCE FORM

Employee Information Leave Details

Employee Name: Type of Leave:

_____________________________________ ______________________________________
Employee ID: Dates of Leave:

______________________________________ ______________________________________
Department: Number of Days:

______________________________________ _____________________________________

Reason for Leave

Briefly explain the reason for your leave:


____________________________________________________________________________________
_______________________________________________________________________.

Request for Leave

Do you request approval for your leave? ⬜ Yes ⬜ No


If yes, please provide supporting documents (if applicable): ____________________________

Contact Information

In case of an emergency, please contact: _______________________________

Phone Number: ______________________________________

Email Address: ______________________________________

Signature

I hereby certify that the above information is true and accurate. I understand that any
false or misleading information provided may result in disciplinary action.
Employee’s Signature: ______________________________________

Date: _____________________________________

Approved by:

Manager/Supervisor Signature: ______________________________________

Date: ______________________________________

You might also like