Time Off Request Form Template

Take a break and recharge your batteries! We're happy to help you request time off. Please complete our Time Off Request Form and let's make it happen!

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1. What is your name? *
2. What is your department?*
HR
Marketing
Operations
Sales
Customer Service
Administration
3. What is the reason for your time off request?*
Vacation
Sick leave
Personal reasons
Family emergency
Other (please specify)
4. How many days do you need off? *
5. Have you discussed your time off request with your supervisor?*
Yes
No
Not yet, but I plan to
6. Is there anyone who can cover your responsibilities while you are away?*
Yes
No
Not sure
7. Is there anything else you would like to add about your time off request?
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Questions
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