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Leave Form

The document is an Employee Leave Request Form that allows employees to request leave for various reasons such as vacation, sick leave, or jury duty. It includes sections for employee details, leave dates and times, and an area for office use comments and approval. The form requires signatures from the employee and the approving authority.

Uploaded by

Kamran Azam
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© © All Rights Reserved
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212 views1 page

Leave Form

The document is an Employee Leave Request Form that allows employees to request leave for various reasons such as vacation, sick leave, or jury duty. It includes sections for employee details, leave dates and times, and an area for office use comments and approval. The form requires signatures from the employee and the approving authority.

Uploaded by

Kamran Azam
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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Employee Leave Request Form

Employee Name Date


Department Department 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
Others

LEAVE REQUIRED

From Time AM/PM Total Number of Hours Requested


To Time AM/PM Total Number of Hours Requested
Other

Employee Signature Date

OFFICE USE ONLY

Comments

Approved By:
Signature Date

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