Vacation Request Form printable pdf download

Vacation Request Form

Support/Staff

Vacation Request Form

___________________________________

To:

(Supervisor/ Administrator authorized to approve vacation requests)

I am requesting your approval to use accumulated vacation for the following period:

____________________

From:

Through:

(Month/Day/Year)

This is a total of _____ working days of vacation time.

Scheduled Holidays or Seasonal Days are not counted in the total.

_________________________

(Printed Name of Employee)

(Signature of Employee)

____________________

(Date)

Response:



Your Request for vacation is APPROVED**



Your Request for vacation is NOT APPROVED

________________________________________

_______________

(Signature of Supervisor/ Administrator authorized to approve vacation requests)

(Date)

** If vacation is approved, a copy of this form should be submitted to Payroll attached to the applicable timesheet.

Rev. 8/2010

Vacation Request Form