Vacation Request Form printable pdf download

Vacation Request Form:

Form must be submitted 30 days before 1

day requested off.

Date: __________________________________

Employee Name: _________________________

First day off: _____________________________

Return date back: _________________________

Will you use your vacation time? No_______ Yes_______ # of Hours________

Calculation:

Hourly employees: Total hours worked from date of hire for 1 year divided by 52 weeks = hours available for vacation

time.

Reason for request:

Approved by: _________________________

_________________________

Mick Riegel

Todd Pickering

________________________________________________________________

POLICY

All full time employees will be eligible for vacations based upon the length of service with the Company. It

is in the best interest of the Company to try to separate the vacations of the staff over as much time as

possible and avoid having too many people from the same area out at the same time. There may be

some cases where seniority will prevail if there are requests for the same period of time off.

After one year of service, employees will be eligible for vacation as follows:

1-3 Years of Service

Up to 40 hours per year

3 or more years of Service

Up to 80 hours per year

Employees may carry over to the following year, up to 5 days vacation. Upon termination or resignation,

however, only the maximum number of earned days for the current calendar year will be paid to the

employee. All carryover requests must be submitted in writing and approved by management.

A Vacation Request Form must be filled out by every employee whether they are taking one day or two

weeks. The form should be submitted to management 30 days prior to the anticipated vacation.

Summer schedule: June 01 to September 15

is strongly discouraged.

Vacation Request Form