Vacation Request Form

Vacation Request Form
Regulations
1. The employee should make a vacation request one week before this desired vacation period. For this reason, the employee should submit this Vacation Request Form at least one week before the desired vacation period.
2. The vacation schedules should be arranged with the employee's supervisor.
3. The contact information of the employee should be listed for emergencies.
Date*
MonthDayYear
Date

EMPLOYEE INFORMATION
This section should be filled by the employee.
Name*
First NameMiddle NameLast Name
Department*
Position*
Vacation Start Date*
MonthDayYear
Date
Vacation End Date*
MonthDayYear
Date
Total Number of Vacation Days
Comments
Signature*
Clear

EMPLOYEE CONTACT DETAILS
Email*
example@example.com
Vacation Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Phone Number*
Area CodePhone Number

SUPERVISOR INFORMATION
This section should be filled by the supervisor.
Name*
First NameMiddle NameLast Name
Email*
example@example.com
Action Taken*
ApprovedDenied
Comments
Signature*
Clear

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Should be Empty: