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Employee Leave Request Form : View Employee Leave Request Form

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Key Takeaways

  • Complete HR toolkit: Offers, warnings, terminations, reviews, and acknowledgments.
  • Best template flexibility: Start with a proven Employee Leave Request Form and customize every section as needed.
  • Consistent wording: Reduce admin time and ambiguity.
  • Confidentiality/IP where applicable: Include protective clauses when appropriate.
  • Simple tailoring: Edit names, dates, and roles quickly.
  • Tracking friendly: Capture approvals, dates, and next steps.
  • Works with agreements: Align with employee and contractor contracts.
Employee Leave Request Form

How to write your Employee Leave Request Form

We include this 2 page template with Human Resources Contract Pack and the Proposal Kit Professional. You will get more content and software automation for data merging, managing client documents, and creating proposals with line item quoting with a Contract Pack or the Professional.

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Use the Employee Leave Request Form to keep track of your employee time-off requests for various types of absence, such as family leave, sick time, vacation time, jury duty, military leave, etc. Use this form for accrual time management.
Document Length: 2 Pages
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1. Get Human Resources Contract Pack or the single template that includes this business contract document.

We include this contract in editable Word format that can be customized using your office software.

2. Download and install after ordering.

Once you have ordered and downloaded your template or pack, you will have all the content you need to get started.

3. Customize the contract template with your information.

You can customize the contract document as much as you need. If you get a Contract Pack or Professional Bundle, you can also use the included Wizard software to automate name/address data merging.

Use cases for this template

Surgery Recovery Leave at Blueforge Components

The Challenge

Production engineer Maria Santos scheduled a six-week medical leave for surgery, and Blueforge Components worried about coverage for a high-volume product line and how to keep her request properly documented for audit and payroll alignment.

The Solution

They kept the legal contract form as the official record and used Proposal Kit's document assembly to produce a cross-training plan, a shift coverage policy summary, and manager memos; the AI Writer drafted a short briefing and a recovery transition plan, while line-item quoting estimated overtime versus temporary labor.

The Implementation

Maria and her supervisor completed the form with start/return dates and hours, attached the surgeon's medical certification, and sent it to HR; in parallel, HR generated a workload impact report, an updated production calendar, and a skills matrix using Proposal Kit templates so team leads could reassign tasks confidently.

The Outcome

Her leave was approved quickly, coverage was locked in before the first day out, and the plant met delivery targets with a lower-than-expected labor variance thanks to the cost comparison built from line-item quoting.

Caregiver FMLA at NimbusLoop Analytics

The Challenge

Data scientist Jamal Reed needed FMLA to care for his parent after a sudden illness, but the startup's managers had inconsistent practices for documenting requests and forecasting capacity on client projects.

The Solution

NimbusLoop kept the standardized contract form as the gatekeeper and used Proposal Kit to create a concise employee guide, a supervisor checklist, and a client communication outline; the AI Writer produced a project reprioritization proposal and risk brief, and line-item quoting modeled revenue impact under several staffing scenarios.

The Implementation

HR verified eligibility and hours worked, logged the medical certification, and posted a central access link; PMs received Proposal Kit-based schedules and a backfill plan, then updated statements of work supported by the AI Writer's drafts so scope changes were clear to clients.

The Outcome

The company stayed compliant and audit-ready, client deadlines were met with revised timelines, and employee morale improved because the process was transparent and predictable.

Military Caregiver Leave at ClearHarbor Freight

The Challenge

Dispatcher Elena Park requested leave to care for her spouse, a current service member with a serious injury, right before peak shipping season, raising concerns about 24/7 coverage and route reliability.

The Solution

ClearHarbor treated the contract form as the official record and used Proposal Kit to assemble a contingency staffing plan, coverage rosters, and policy notices; the AI Writer drafted a carrier coordination plan and a training outline for backup dispatchers, while line-item quoting compared agency temps to targeted overtime.

The Implementation

HR confirmed eligibility, recorded hours, and filed the medical certification; operations published Proposal Kit-generated shift maps and a phased handoff schedule, trained two backups using the AI Writer's materials, and locked budgets based on the cost model.

The Outcome

Routes stayed on time through the season, costs landed within the forecast, and Elena returned to a stable desk with a documented transition back plan that minimized errors and call delays.

Abstract

This company document defines a clear leave request process that keeps time off properly documented and auditable. An employee identifies the request time, leave start and return dates, total work hours, and the reason for requesting leave. The supervisor must fill out the form and submit it to Human Resources, which verifies the hours and approves.

Signatures from both the employee and supervisor are required, and the HR Manager issues a written post-approval notice. This efficient process helps employers and employees access relevant information and determine what benefits apply.

The form covers common options: vacation, sick pay, personal or compensatory time, bereavement, jury or military duty, medical leave for maternity or family, FMLA, and leave without pay. HR verifies deductions by hours used. The document states that accrued sick or vacation time must be used before leave without pay. If leave without pay is chosen, the employee is responsible for ensuring continued health and medical coverage and should review the HR guide for additional information.

For FMLA, organizations typically evaluate eligibility based on employment history and qualifying reasons, such as a serious health condition, caring for a parent, or supporting a current service member with a serious injury. Employers may request medical certification to confirm the health condition and determine whether the employee is eligible. The form provides space to note applicable categories so HR can create the correct record, modify balances, and communicate requirements.

Typical use cases include an employee managing an illness and surgery recovery, bereavement leave after a family loss, jury duty, parental bonding, or post-injury rehabilitation. Military-related absences may be covered either as jury/military duty or FMLA when assisting a current service member. In all cases, employees should fill the form completely, attach any required medical certification or supporting documents, submit it to the supervisor, and respond promptly to any HR request for additional information.

Proposal Kit can help organizations create consistent leave documentation and related materials. Its document assembly and template library make it easier to build and modify HR forms, policies, and notices. The AI Writer can write supporting documents that align with your process, and automated line-item quoting can assist when leave impacts project allocations. These tools support a structured, easy-to-use workflow for HR and managers.

Beyond capturing dates and hours, a robust leave request process should define timelines for review, set expectations for employees, and map handoffs between supervisors, HR, and payroll. Organizations benefit from a single access point where staff can find the form, applicable policies, and relevant FAQs. Clear version control, signed and dated entries, and HR-verified balances keep every request properly documented and reduce disputes. Aligning this process with payroll cycles helps employers determine when to modify accruals and ensure benefits deductions are accurate, especially if an employee selects leave without pay.

Eligibility screening matters. Before approving FMLA or other medical leave, HR can confirm qualifying reasons, tenure, and hours worked, then request medical certification when a health condition or illness is involved. Caregiver situations, such as supporting a current service member with a serious injury, may qualify, and managers should ask only for additional information that is necessary to validate eligibility. Simple checklists for supervisors improve consistency, from confirming request time and coverage plans to noting any post-injury work restrictions upon return.

Use cases show the value. A plant schedules cross-training to cover a mechanic's surgery recovery. A nonprofit coordinates time off for an employee caring for a parent.

A consulting firm reallocates tasks when a team member is on jury duty. In each case, employees fill the form, submit it to supervisors, and HR finalizes the process so projects continue efficiently.

Proposal Kit can help organizations create a cohesive leave packet: the core request form, policy summaries, manager response letters, and prompts for medical certification. Its document assembly and template library support rapid customization by department. The AI Writer can write step-by-step instructions and notices, while automated line-item quoting helps estimate project and staffing impacts when team members are requesting leave. Together, these tools make it easier to build, modify, and maintain a clear, easy-to-use process.

To strengthen the leave request process, define service levels and escalation paths. Set target review windows for supervisors and HR, plus a delegate when a supervisor is unavailable, so employees can submit requests and receive timely outcomes. Use standardized leave codes that align with payroll to keep requests properly documented and make it easier to determine accrual impacts, modify schedules, and forecast staffing.

Role-based access helps ensure only relevant personnel see sensitive details; store medical certification and any additional information about a health condition or illness separately from the general form. Establish recordkeeping and retention guidelines so organizations can audit decisions and post year-end summaries without asking for private data.

Capacity planning benefits from simple analytics. Track request time by department, season, and category (vacation, FMLA, jury/military duty, bereavement, medical leave) to predict peak absences and allocate cross-coverage. Build contingency plans for extended absences, such as a current service member caregiver situation or recovery from a serious injury, including training backups and pre-approved overtime.

Clarify how partial-day absences are recorded to keep totals accurate for full-time and part-time employees. Provide a central page where employees access the form, instructions on eligibility, and who to contact when requesting leave.

Additional use cases include travel-related bereavement, extended jury service, parental appointments for a minor or elder parent, and post-injury graduated returns. In each, employees fill the form, attach any required medical certification, and submit it for review so employers can keep operations efficient while staying compliant with policy.

Proposal Kit can help teams create a consistent, easy-to-use packet around this process. Use document assembly to build tailored forms, manager checklists, and policy summaries; the AI Writer to write instructions and notices; the extensive template library to standardize communications; and automated line-item quoting to estimate project or backfill costs when key staff are on leave.

How do you write a Employee Leave Request Form document? - The Narrative

Company Name

Employee: First Last Job title of signator, authorized signature or signer.

Contract Job Title Department: Department Supervisor: Supervisor Leave Date(s) Leave Start Date: Start Date Leave Return Date: End Date Total Number of Work Hours:

Instructions: Supervisor must complete the following form and file it with the Human Resources Department.

Reason for Leave

Leave Benefit(s) Used (Please check all that apply) Vacation Pay: ? Sick Pay: ? Personal Leave / Comp Time: ? Leave without Pay: ? Bereavement: ? Jury / Military Duty: ?

Maternity / Family Leave (FLMA Leave) : ? Other: ? Notes:

Leave Benefit Deductions * Hours verified by Human Resources.

Vacation Pay: hours

Sick Pay: hours

Compensatory Time: hours

Personal Days: hours

Leave without Pay: hours

Bereavement: hours

Jury / Military Duty: hours

Maternity Leave: hours

FLMA Leave: hours

Vacation Pay*: hours

Sick Pay*: hours

Compensatory Time*: hours

Personal Days*: hours

Leave without Pay*: hours

Bereavement*: hours

Jury / Military Duty*: hours

Maternity Leave*: hours

FLMA Leave*: hours

Employee and Supervisor are required to sign this Employee Leave Request in order to gain Company approval and to certify that all benefits requested by Employee are available. Upon approval by the Company, both Employee and Supervisor will receive written notification of said approval from the Company Human Resources Department. Please Note: Any accumulated Sick or Vacation Leave that the employee has accrued must be used prior to accepting Leave without Pay status.

Should the employee select Leave without Pay status, it is the sole responsibility of the employee to ensure that his or her Health and Medical coverage is continued. Employee should review the rights and responsibilities concerning Leave without Pay and the effect on Health and Medical Benefits prior to enacting Leave without Pay. Information concerning these rights and responsibilities may be found within the Company Human Resources Guide or by speaking with the Company Human Resources Department.

Employee Signature Date

Supervisor Signature Date

For Office Use Only

Approved By signator, authorized signature or signed

Human Resources Manager Date

Address Address City, State Postal Code

Phone Phone Number

The complete Employee Leave Request Form - with the actual formatting and layout - is available as a single template or as part of a library of related templates in a Contract Pack or the Professional Bundle.
Employee Leave Request Form

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Related documents may be used in conjunction with this document depending on your situation. Many related documents are intended for use as part of a contract management system.

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Frequently Asked Questions

How do I customize this contract to fit my business needs?

Customizing this contract involves editing the document to include your business details, terms, and conditions. The templates are designed to be flexible, allowing you to insert your company's name, address, and other relevant information. You can modify clauses to reflect your unique business practices and legal requirements.

Is this contract compliant with laws and regulations?

The legal contract templates are written by legal professionals and designed to comply with current laws and regulations at the time of their writing. However, laws can vary by jurisdiction and change over time, so it's recommended to have your contract reviewed by a local attorney to ensure it meets all legal requirements specific to your region and industry. Templates are licensed as self-help information and not as legal advice.

Can I use the same contract for different clients or projects?

You can use the same contract for different clients or projects. The templates are versatile and easily adapted for various scenarios. You will need to update specific details such as client names, project descriptions, and any unique terms for each new agreement to ensure that each contract accurately reflects the particulars of the individual client or project.

What should I do if I encounter a clause or term I don't understand?

If you encounter a clause or term in the contract that you need help understanding, you can refer to guidance notes explaining each section's purpose and use. For more complex or unclear terms, it's advisable to consult with a legal professional who can explain the clause and help you determine if any modifications are necessary to suit your specific needs.

How do I ensure that the contract is legally binding and enforceable?

To ensure that the contract is legally binding and enforceable, follow these steps:

  • Complete all relevant sections: Make sure all blanks are filled in with accurate information.
  • Include all necessary terms and conditions: Ensure that all essential elements, such as payment terms, deliverables, timelines, and responsibilities, are clearly defined.
  • Signatures: Both parties must sign the contract, and it is often recommended that the contract be witnessed or notarized, depending on the legal requirements in your jurisdiction.
  • Consult a legal professional: Before finalizing the contract, have it reviewed by an attorney to ensure it complies with applicable laws and protects your interests.

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Proposal Kit, Inc. makes no warranty and accepts no responsibility for the suitability of any materials to the licensee's business. Proposal Kit, Inc. assumes no responsibility or liability for errors or inaccuracies. Licensee accepts all responsibility for the results obtained. The information included is not legal advice. Names in use cases have been fictionalized. Your use of the contract template and any purchased packages constitutes acceptance and understanding of these disclaimers and terms and conditions.