Legal Employment & Labor Time Off Request Form

Legal Employment & Labor
Time Off Request Form

Instructions for Use: Please complete this form to request time off from work. Submit the form to your supervisor or the designated HR representative for approval.

Employee Information

Employee Name

Employee ID

Department

Position/Title

Date of Request

Time Off Details

Type of Time Off

Start Date

End Date

Total Days Requested

Reason for Time Off


Supervisor Approval

[Name]

[Date Approved]

HR Approval

[Name]

[Date Approved]


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