Leave Request Form Template by BusinessOwl

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									                                                                     Company Name
                                                                       Postal Address Here



Leave Request Form
Employee Name:                                         Department:


Designation:

Reason for requested leave (please tick appropriate box):

    Sick
    Bereavement
    Unpaid leave
    Personal leave
    Maternity/Paternity
    Other

Dates Requested:     Leave From:                    To:

Employee’s signature:

Date:


Manager/Supervisor Approval:

    Approved
    Rejected


Notes/Comments:

								
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