Leave Request Form - Pneumatic And Hydraulic printable pdf download

Leave Request Form - Pneumatic And Hydraulic

LEAVE REQUEST FORM

Employee Name: _____________________

Branch: ___________________

Dept.: _______________

Manager: __________________________

Type of Absence Requested:

 Sick

 Maternity/ Paternity

 Vacation

 Time off without pay

 Jury Duty

 Other

 Bereavement

Date of Absence: From _________ to _________

Total # of days : ______

Are you on call during these dates?  Yes  No

Leave will not be approved for any technician that is scheduled to be on call without that technician

first finding a suitable replacement to take his or her rotation in the call process. No exceptions.

Reason for Absence:

_______________________________________________________________________

I understand that until both my manager and HR sign this form, my leave request is not approved.

MANAGER APPROVAL

 Approved  Denied

______________________ _________

Manager Signature

Date

_____________________

_________

HR Signature

Date

Leave Request Form - Pneumatic And Hydraulic