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Sample Leave Application Form

An employee submitted a leave application form requesting time off from work. The form includes the employee's name, code, department, dates and times for the requested leave, whether it is for a full or half day, the type of leave and reason. The employee's supervisor will review and either approve the leave by signing or not approve and provide a reason. HR and finance will then process the approved leave by adjusting the employee's balance or payroll if leave without pay.
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0% found this document useful (0 votes)
1K views

Sample Leave Application Form

An employee submitted a leave application form requesting time off from work. The form includes the employee's name, code, department, dates and times for the requested leave, whether it is for a full or half day, the type of leave and reason. The employee's supervisor will review and either approve the leave by signing or not approve and provide a reason. HR and finance will then process the approved leave by adjusting the employee's balance or payroll if leave without pay.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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<Insert Company Name>

LEAVE APPLICATION FORM


Date:
Employee Name:
Employee Code:
Department:

Leave Details :
Number of Days (including Saturday &
Sunday):
From:
To:

If half day
Morning:
Afternoon:
Type of Leave :
Reason for requesting leave:

Contact Address during leave period:


Phone Number:
Date :
Signature of Employee

Leave sanctioned as follows (To be filled in by Supervisor)


No leave sanctioned:

Supervisors Signature and Date

Reason for not sanctioning leave:

Department Heads Signature and Date

Leave adjusted against Balance (For HR and Finance)


Leave without pay (to be adjusted in
payroll):
Human Resource Representative and
date

Finance Representative and date (if LWP)

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