Time Off Request Form

[Your Company Name]

Time Off Request Form

Employee Information:

• Name: _________________________________
•  
• Employee ID: ___________________________
•  
• Department: ___________________________
•  
• Position/Job Title: ______________________
•  
• Date of Request: _______________________

Type of Time Off Requested:

• [ ] Vacation
• [ ] Personal Day
• [ ] Sick Leave
• [ ] Family/Medical Leave
• [ ] Bereavement Leave
• [ ] Other (Please specify): ____________________

Date(s) of Requested Time Off:

From: ___________________________

To: _____________________________

Total Number of Days/Hours Requested: _____________

Reason for Time Off Request:

Manager/Supervisor Approval:

I hereby approve the requested time off for the employee mentioned above, considering operational requirements and team coverage.

Manager/Supervisor Name: _____________________

Manager/Supervisor Signature: ___________________

Date: ___________________________

Employee Acknowledgement:

I acknowledge that my time off request has been submitted and approved in accordance with the company's policies and procedures. I understand that I am responsible for ensuring proper coverage or arranging for workload distribution during my absence.

Employee Signature: ____________________________

Date: ____________________________

Please submit this form to your manager/supervisor and retain a copy for your records. Remember to follow any additional procedures or guidelines outlined by your company regarding time off requests.

Note: It is important to consult your company's specific policies and procedures regarding time off requests, including any specific forms or processes they may require. The above template serves as a general example and should be tailored to fit your company's specific needs and policies.