1. Vacation/Time Off Request Form
_______________________________________ _____________________
Employee’s Name Date
I am requesting: _____________Vacation (Paid) ______________Time Off (unpaid)
From: _____________________ Through: _______________________
REASON: _________________________________________________
__________________________________________________________
Employee Signed: ___________________________________________
HR: ___________________________________________ Date: ______________
Manager: _______________________________________ Date: ______________
Approved: ____________________ Not Approved: _____________________
Reason: __________________________________
_________________________________________
• Copy to Payroll
• Copy to Department
• Copy to Employee