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Management documents Absence documents

Leave request (not holiday) form template

This manual form is used to request and approve general leave, and incorporates flexibility regarding leave being taken in days or hours, and shift workers.

FREE Leave request (not holiday) form template
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Leave request (not holiday)



PLEASE NOTE: First day and Last day means your first and last days of leave; Last day does not refer to your first day back at work after your leave.

[Shift Workers: Please count only those days you would have been scheduled to work (including Sats/ Suns/Bank Holidays). Do not include your normal off days in the number of days to be deducted.]

If taking a half day, specify AM or PM in the appropriate box(es).

First day of leave (date):  
Last day of leave (date):  
Total number of [days|hours] taken:  
Reason for leave:  

I have read and understood the [Company Absence] policy and have completed this form in accordance with the appropriate guidance.

Signed (employee):  
Approved (line manager):  

Last update

12 March 2021


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