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    4 - Leave of Absence Form

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    Marquis hrad
    This leave of absence form is used by employees to request time off from work. It collects information such as the employee's name, designation, department, type of leave being requested like vacation leave or sick leave, the total number of days requested, and the reason for the leave. The form requires approval signatures from the employee and department head. It also provides notices such as absences due to sickness for 2 or more days must be supported by a medical certificate. The HR department will process the request by recording the available and balance leave days.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    4 - Leave of Absence Form

    Uploaded by

    Marquis hrad
    25 views1 page
    This leave of absence form is used by employees to request time off from work. It collects information such as the employee's name, designation, department, type of leave being requested like vacation leave or sick leave, the total number of days requested, and the reason for the leave. The form requires approval signatures from the employee and department head. It also provides notices such as absences due to sickness for 2 or more days must be supported by a medical certificate. The HR department will process the request by recording the available and balance leave days.

    Original Title

    4_LEAVE OF ABSENCE FORM

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    This leave of absence form is used by employees to request time off from work. It collects information such as the employee's name, designation, department, type of leave being requested like vacation leave or sick leave, the total number of days requested, and the reason for the leave. The form requires approval signatures from the employee and department head. It also provides notices such as absences due to sickness for 2 or more days must be supported by a medical certificate. The HR department will process the request by recording the available and balance leave days.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    25 views1 page

    4 - Leave of Absence Form

    Uploaded by

    Marquis hrad
    This leave of absence form is used by employees to request time off from work. It collects information such as the employee's name, designation, department, type of leave being requested like vacation leave or sick leave, the total number of days requested, and the reason for the leave. The form requires approval signatures from the employee and department head. It also provides notices such as absences due to sickness for 2 or more days must be supported by a medical certificate. The HR department will process the request by recording the available and balance leave days.

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    © All Rights Reserved
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    LEAVE OF ABSENCE FORM LEAVE OF ABSENCE FORM

    (Form HRAD004-11/05/15) (Form HRAD004-11/05/15)


    DATE NAME DATE NAME

    DESIGNATION DEPARTMENT BRANCH / LOCATION DESIGNATION DEPARTMENT BRANCH / LOCATION

    TYPE OF LEAVE / Charge to: TYPE OF LEAVE / Charge to:


    VL Credit TOTAL NO. OF DAYS: ___________ VL Credit TOTAL NO. OF DAYS: ___________
    From: ______________________ From: ______________________
    SL Credit Day Off: ______________________ SL Credit Day Off: ______________________
    Emergency Leave To: ______________________ Emergency Leave To: ______________________
    Authorized Absence Authorized Absence
    Maternity / Paternity Maternity / Paternity
    Others: Others:
    REASON/S: REASON/S:

    Requested by: Approved by: Requested by: Approved by:

    __________________________ _____________________ __________________________ _____________________


    Employee Department Head Employee Department Head
    Signature - Date Signature - Date Signature - Date Signature - Date
    NOTICE TO EMPLOYEE NOTICE TO EMPLOYEE
    Absences due to sickness for 2 days or more must be supported by a MEDICAL Absences due to sickness for 2 days or more must be supported by a MEDICAL
    CERTIFICATE. CERTIFICATE.
    Recorded by: Recorded by:
    HR DEPARTMENT USE _____________________ HR DEPARTMENT USE _____________________
    VL SL HRAD Assistant VL SL HRAD Assistant
    Available Leave Signature - Date Available Leave Signature - Date
    Less: Request Checked by: Less: Request Checked by:
    Balance _____________________ Balance _____________________
    Without Pay HRAD Head Without Pay HRAD Head
    Signature - Date Signature - Date
    Distribution: Copy 1- Employee Copy 2- HR & Ad Distribution: Copy 1- Employee Copy 2- HR & Ad

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