Employee Leave Application Form Sample

These four employee leave application form templates cater to various circumstances, ensuring a comprehensive and organized approach to leave requests within a professional setting. The first template serves as a standard leave application form, covering general leave types and approval processes. The second template is specifically designed for medical leave, requiring details of the medical condition and the option to attach a medical certificate. The third template addresses maternity leave, requesting essential information related to expected delivery dates and medical documentation. Lastly, the fourth template focuses on vacation leave, prompting employees to provide details about their destination, emergency contacts, and acknowledging their commitment to adhere to company policies. Whether an employee requires leave for personal, medical, maternity, or vacation reasons, these templates aim to streamline the application process while ensuring that all necessary information is accurately documented for both employee and employer convenience.

Template Standard Employee Leave Application Form

[Your Company Logo]

Employee Leave Application Form

Employee Information:

Full Name: ____________________________ Employee ID: ___________________________ Department: ___________________________ Position: _______________________________ Date of Application: _____________________ Leave Details:

Type of Leave: [ ] Annual Leave [ ] Sick Leave [ ] Personal Leave [ ] Other (Specify): _______________ Start Date: ______________________ End Date: ________________________ Total Number of Days: _______________ Reason for Leave:

Please provide a brief explanation of the reason for your leave:

Approval:

Immediate Supervisor's Name: ___________________________ Immediate Supervisor's Signature: ______________________ Date of Approval: ______________________ HR Approval:

HR Representative's Name: ___________________________ HR Representative's Signature: ______________________ Date of HR Approval: ______________________ Additional Comments:

I hereby acknowledge that the information provided above is accurate to the best of my knowledge.

Employee's Signature: _________________________ Date: ___________________

Template Medical Leave Application Form

[Your Company Logo]

Medical Leave Application Form

Employee Information:

Full Name: ____________________________ Employee ID: ___________________________ Department: ___________________________ Position: _______________________________ Date of Application: _____________________ Medical Details:

Type of Leave: [ ] Sick Leave Start Date: ______________________ End Date: ________________________ Total Number of Days: _______________ Medical Certificate Attached: [ ] Yes [ ] No

Details of Medical Condition:

Please provide a brief description of your medical condition:

Attending Physician's Information:

Physician's Name: ___________________________ Clinic/Hospital Name: ________________________ Contact Number: ____________________________ Approval:

Immediate Supervisor's Name: ___________________________ Immediate Supervisor's Signature: ______________________ Date of Approval: ______________________ HR Approval:

HR Representative's Name: ___________________________ HR Representative's Signature: ______________________ Date of HR Approval: ______________________ Additional Comments:

I hereby declare that I am unable to perform my duties due to the aforementioned medical condition.

Employee's Signature: _________________________ Date: ___________________

Template Maternity Leave Application Form

[Your Company Logo]

Maternity Leave Application Form

Employee Information:

Full Name: ____________________________ Employee ID: ___________________________ Department: ___________________________ Position: _______________________________ Date of Application: _____________________ Leave Details:

Type of Leave: [ ] Maternity Leave Expected Delivery Date: ______________________ Start Date: ______________________ End Date: ________________________ Total Number of Days: _______________ Attachment:

Attach a copy of the medical certificate confirming your pregnancy and expected due date.

Approval:

Immediate Supervisor's Name: ___________________________ Immediate Supervisor's Signature: ______________________ Date of Approval: ______________________ HR Approval:

HR Representative's Name: ___________________________ HR Representative's Signature: ______________________ Date of HR Approval: ______________________ Additional Comments:

I hereby apply for maternity leave in accordance with the company's policies.

Employee's Signature: _________________________ Date: ___________________

Template Vacation Leave Application Form

[Your Company Logo]

Vacation Leave Application Form

Employee Information:

Full Name: ____________________________ Employee ID: ___________________________ Department: ___________________________ Position: _______________________________ Date of Application: _____________________ Leave Details:

Type of Leave: [ ] Annual Leave Start Date: ______________________ End Date: ________________________ Total Number of Days: _______________ Destination and Contact Information:

Destination: ____________________________ Contact Number during Leave: ______________________ Emergency Contact:

Name: ________________________________ Relationship: __________________________ Contact Number: ________________________ Approval:

Immediate Supervisor's Name: ___________________________ Immediate Supervisor's Signature: ______________________ Date of Approval: ______________________ HR Approval:

HR Representative's Name: ___________________________ HR Representative's Signature: ______________________ Date of HR Approval: ______________________ Additional Comments:

I hereby request vacation leave and agree to adhere to the company's policies regarding leave.

Employee's Signature: _________________________ Date: ___________________

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