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!
wait loading
*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?
SurveyPluto
Create your own surveys for free
image result
7
Questions
Use This Template
Browse All Templates