VACATION REQUEST
Employee Name ________________________
Date _____________
Dates Requested From ___________________
Do _______________
Total Vacation Days Accrued
___________
Total Vacation Days Taken
___________
Total Vacation Days Available
___________
Number of Days Requested
___________
Total Vacation Days Remaining
___________
(if request approved)
Approval: ______________________________
Manager Signature _______________________
Date __________________________________