EMPLOYEE LEAVE REQUEST

LEAVE REQUEST MUST BE APPROVED BY A SUPERVISOR PRIOR TO SUBMISSION, THE OFFICE WILL THE NOTIFY EMPLOYEE IF LAEVE HAS BENN APPROVED.

Name

First Name

Last Name

Todays Date

YYYY

Leave Type

If you do not Indicate which type of leave you would like to use payroll will be processed as unpaid days

Date Requested

Leave Date Request

YYYY

Return Date (only use for Multiple Days)

Use only if multiple days are requested

YYYY

Reason For Leave

Submitted By

Supervisor Approving Submission

First Name

Last Name