Example Time-Off Request
Please submit the times you need to take off work and the type of leave you are taking.

Approval will be sought from your Line Manager.

Note, this template is a sample only of what a Time-Off Request Form may look it. It is not a functional form.

Email address *
Full Name *
Your answer
From *
First day of leave
MM
/
DD
/
YYYY
To *
Last day of leave
MM
/
DD
/
YYYY
Number of days
Your answer
Leave type *
Notes
Your answer
Line Manager *
Email address
Your answer
Submit
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