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CCN Leave Request Form

This document is a leave request form for employees of the USAID Papua New Guinea Electrification Partnership activity. It outlines the process for requesting and approving leave, including discussing timing with supervisors, submitting forms at least two weeks in advance, and following up verbally approved emergency leaves in writing. It also notes employees must request elective sick leaves like medical appointments one week in advance if possible. The four-section form is used to document the type of leave requested, dates, signatures of the employee, HR, supervisor, and Chief of Party if needed.

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ShujaRehman
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104 views1 page

CCN Leave Request Form

This document is a leave request form for employees of the USAID Papua New Guinea Electrification Partnership activity. It outlines the process for requesting and approving leave, including discussing timing with supervisors, submitting forms at least two weeks in advance, and following up verbally approved emergency leaves in writing. It also notes employees must request elective sick leaves like medical appointments one week in advance if possible. The four-section form is used to document the type of leave requested, dates, signatures of the employee, HR, supervisor, and Chief of Party if needed.

Uploaded by

ShujaRehman
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
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CCN Leave Request Form

USAID Papua New Guinea Electrifica�on Partnership (USAID-PEP) Ac�vity

The employee is expected to discuss the �ming of requested leave with their supervisor and submit this form to HR no later than two
weeks before the requested leave is to be taken – except in the case of an emergency. Leaves are not approved un�l the
Supervisor’s signature is affixed to this form or through the Supervisor’s verbal approval for emergency situa�ons. Leaves approved
verbally will be followed up by retroac�ve submission of this form as soon as feasible with remarks added explaining the reason for
the late submission. In cases of elec�ve sick leave, such as for scheduled surgery or medical appointments, the employee shall fill
out a leave form and obtain approval one week prior to taking such leave if possible.
Employee Name: Employee ID No: Posi�on: Component:

Operations

SECTION I (Completed by Employee)


I wish to take ____________ hours of leave as shown below: Type of Leave Requested: Annual Leave/Paid Time Off

From: Through: Date returning to work:

Notes:

Employee Signature: Date:

SECTION II (Completed by Human Resources)


Leave Balance:

Annual Leave current: Annual Leave balance a�er requested hours taken:

Hours Hours
Sick Leave current: Sick Leave balance a�er requested hours taken:

Hours Hours
Bereavement Leave current: Bereavement Leave balance a�er request taken:

Hours Hours

HR Representa�ve’s Name: Signature: Date:

SECTION III (Completed by Supervisor)


I have reviewed the department schedule, workload, and this employee’s leave request and I

☐Approve the leave request ☐Do not approve the leave request
(Reason not approved, or if changes made before gran�ng approval ):

Name: Signature: Date:

**SECTION IV (Completed by Chief of Party for Advanced Leave or Unpaid Leave)


I have reviewed the department schedule, workload, and this employee’s leave request and I

☐Approve the leave request ☐Do not approve the leave request
(Reason not approved, or if changes made before gran�ng approval ):

Name: Signature: Date:

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