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Please note: This sample Vacation Request Form is provided for you by HR.com as a free service. The free hr templates and forms on this site are general in nature and not based on the laws of any specific state or other jurisdiction. Prior to using these policies or forms, we recommend that you consult with an attorney or other expert knowledgeable in the laws of the applicable jurisdiction and the specific intended use of those documents.
Vacation Request Form
Employee:____________________________________________________________________
Employee Number:_____________________________________________________________
Department:___________________________________________________________________
Supervisor:____________________________________________________________________
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End Date |
Total Days |
Reason Code |
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Reason Codes:
V - Vacation Day
F - Floater Day
PL - Personal Leave Paid
PU - Personal Leave Unpaid
Employee Signature_______________________________________________________________
Date_________________________
Manager Signature________________________________________________________________
Date_________________________
