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Leave Request Form

This document is a leave request form for an employee to submit to their manager. It collects information such as the employee's name, position, dates of the requested leave, type of leave being taken (annual, personal, other), any documentation provided like a medical certificate, number of days being taken, and space for manager approval. The form separates the different leave types and collects the relevant details for each.

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7K views1 page

Leave Request Form

This document is a leave request form for an employee to submit to their manager. It collects information such as the employee's name, position, dates of the requested leave, type of leave being taken (annual, personal, other), any documentation provided like a medical certificate, number of days being taken, and space for manager approval. The form separates the different leave types and collects the relevant details for each.

Uploaded by

api-12300096
Copyright
© Attribution Non-Commercial (BY-NC)
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
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Leave Request

Employee’s name:

Position/Title:

Employee’s signature:

ANNUAL LEAVE No. days


Date of Leave: From: To:
(first day of leave) (last day of leave)

From: To:
From: To:
From: To:

Total number of days absent:

Manager’s approval:

PERSONAL LEAVE
Date of Leave: From: To:
(first day of leave) (last day of leave)

Total no. of working


Sick leave: or Carer’s leave: days absent:

Medical Certificate supplied: Yes: No: Doctor:

Manager’s approval:

OTHER LEAVE (eg. compassionate leave, emergency services leave etc)

Purpose of leave:

Date of Leave: From: To:


(first day of leave) (last day of leave)

Number of Days absent: Leave: With Pay With out Pay

Manager’s approval:

Version: 0.0 © Curriculum Corporation, 2007 Updated: 11/07/07


Document Pathway/Document Name

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