Template
Click this link to create a copy of the form in Google Docs: Vacation Request Form
[Company Name] Vacation Request Form
Instructions
1. Submission: Please submit this form to your manager/supervisor at least [X] days before the intended start date of your vacation.
2. Approval: If required, your manager/supervisor will review your request and forward it to the HR department.
3. Notification: You will be notified of approval or denial as soon as possible.
Employee Information
Name: ______________________________________
Employee ID: ________________________________
Department: _________________________________
Position: ____________________________________
Manager/Supervisor: ___________________________
Vacation Details
Start Date: _________________________________
End Date: ___________________________________
Total Number of Vacation Days Requested: _______
Type of Leave
Paid Vacation
Unpaid Vacation
Other (Please specify): ______________________
Reason (Optional)
____________________________________________________________________________
____________________________________________________________________________
Approval Process
1. Employee Signature:
I confirm that I have checked my available vacation balance and that the above information is accurate.
Employee Signature: ___________________________
Date: ________________________________________
2. Manager/Supervisor Approval:
I approve the vacation request as outlined above.
Manager/Supervisor Signature: ___________________
Date: ________________________________________
3. HR Department Approval (if required):
I confirm that the vacation request complies with company policy and that the employee has sufficient leave balance.
HR Representative Signature: _____________________
Date: ________________________________________
Additional Notes or Instructions
____________________________________________________________________________
____________________________________________________________________________
For HR Use Only
- Vacation Balance Before Request: _______________
- Vacation Balance After Request: _________________
Employee Notification
Approved
Not Approved
Date of Notification: _______________________________
Notification Sent By: _______________________________