Vacation Request Form

Date: ____/____/______

Name: ___________________________________

Department / Title: _________________________

Vacation Dates Requested: ____/____/______ through ____/____/______

Returning: ____/____/______

Total Number of Hours Requested: _____ Hours

Number of Hours Available: _____ Hours

__________________________________________________________

Date____________

Signature of Employee

Approval:

__________________________________________________________

Date____________

Signature of Supervisor

__________________________________________________________

Date____________

Signature of Manager

Please Forward The Original To Human Resources

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Parent category: Business