Free Simple Petition Form

Please ensure all sections are completed accurately and submit this form to your manager/supervisor for approval at least [Number of Days] days prior to the requested time off.
I. Employee Information
Employee Details
Name | |
Department | |
Position |
Contact Information
II. Time Off Details
Type of Time Off Requested
Vacation
Personal Day
Sick Leave
Bereavement Leave
Jury Duty
Others (please specify) |
Dates Requested
III. Reason for Request
Provide a brief explanation for the time off request
IV. Optional Comments
Additional information or special instructions
V. Acknowledgment and Signature
Employee Acknowledgment
I acknowledge that the information provided is accurate to the best of my knowledge and understand that this request is subject to approval based on [Your Company Name]’s policies.
Manager/Supervisor Approval
Approved
Denied
Reason for Denial (if applicable) |
VI. For HR Department Use Only
Processed by | |
Additional Comments |
For any questions, please contact the HR department at [Your Company Email] or visit [Your Company Website].
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