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Employee Leave Request Form

The document is an Employee Leave Request Form that allows employees to request leave for various reasons such as vacation, sick leave, or military duty. It includes sections for employee details, leave dates, and supervisor approval. The form requires signatures from both the employee and the supervisor for processing the request.

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vikas upadhyay
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9 views

Employee Leave Request Form

The document is an Employee Leave Request Form that allows employees to request leave for various reasons such as vacation, sick leave, or military duty. It includes sections for employee details, leave dates, and supervisor approval. The form requires signatures from both the employee and the supervisor for processing the request.

Uploaded by

vikas upadhyay
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Employee Leave Request Form

Employee Name Date


Department Supervisor Name

REASON FOR LEAVE

Vacation Civil Leave /Jury Duty Military

Sick - Self Sick - Family Sick – Dr. Appointment

Worker’s Comp Family and Medical


For
Leave of Absence Funeral –
Relationship:

Other

LEAVE REQUESTED

From Time a.m/p.m Total Number of Hours Requested


To Time a.m/p.m Total Number of Days Requested
Other

Employee Signature Date

SUPERVISOR USE ONLY

Comments:

Approved By:

Supervisor Signature Date

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