Preview of the blank time-off / vacation request: employee, department and manager and more

Free Fillable Time-Off / Vacation Request

For employees and small teams that need a consistent, simple record of leave requests and decisions.

State the dates and leave type, explain any handover or coverage, and send the form to the manager for approval.

  • Work and HR
  • PDF, 49 KB
  • 27 fillable fields
  • US Letter, A4-safe
  • No scripts

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What's on the form

  • Employee, department and manager
  • Leave type and requested dates
  • Full-day or partial-day hours
  • Coverage and handover notes
  • Manager decision, comments and signatures

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How to fill in the time-off / vacation request

  1. Identify the employee, manager and leave type, then enter the first and last requested dates.
  2. Specify full or partial days and note the working hours affected rather than relying on calendar dates alone.
  3. Explain the handover plan, deadline coverage and who can answer questions while the employee is away.
  4. Send the request to the manager and keep the copy showing the final approval, decline or requested change.

Questions

Does submitting the form mean the leave is approved?

No. The manager decision section records whether the request was approved, declined or needs changes.

Can I request part of a day?

Yes. Enter the date and the number of hours in the partial-day field.

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