Vacation/sick Leave Authorization Form
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1VACATION/SICK LEAVE AUTHORIZATION FORM
TCU ID #:
Biweekly:
Monthly:
Date:
Employee Name: (Print)
Pay period end date:
Department Number:
Department Name:
(Five digit number)
If you have a split position please complete a form for each position .
Requested Vacation Leave
Sick Leave
Month/Day
Hours
Month/Day
Hours
.
.
.
.
.
.
.
.
.
.
Total Hours
.
Total Hours
.
Submitted by:
Ext:
(Employee's signature)
Approved by:
Ext:
(Supervisor's signature)
Date
This form should only be used in the event that an employee is unable to submit
vacation/sick time on online.
Please ensure you have adequate leave accrual to cover the hours requested.
Balances can be found on Employee Self Service.
Notes:
Please hand deliver to Human Resources office before Friday of the biweekly pay period
ending date. For monthly payroll, deliver on or before the 20th of each month. Please
make a copy for your files.
Revised: November 2012
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Parent category: Business