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Sample Leave of Absence Form

An employee of John Hay Management Corporation submitted a leave of absence form requesting 1.5 days of leave. The form provides spaces for the employee and supervisors to sign off on the type of leave requested and its approval status. It also tracks the employee's accumulated leave balances and documents the final approval or disapproval of the request by human resources and management.

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M GrâShâ VA
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856 views1 page

Sample Leave of Absence Form

An employee of John Hay Management Corporation submitted a leave of absence form requesting 1.5 days of leave. The form provides spaces for the employee and supervisors to sign off on the type of leave requested and its approval status. It also tracks the employee's accumulated leave balances and documents the final approval or disapproval of the request by human resources and management.

Uploaded by

M GrâShâ VA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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JOHN HAY MANAGEMENT CORPORATION

PSNL Form 7
APPLICATION FOR LEAVE OF ABSENCE
Name (Last Name, First Name, Middle Initial)

Department/Division

FROM : Total Number of days
1.5 days TO :

_______ Vacation Leave
____ x _ Sick Leave
Others (please
specify)

Employees Signature:

Date Filed: September 02, 2014
Recommended for:

_______ Approval
_______ Disapproval

Immediate Supervisor


Division Head
DETAILS OF ACTION ON LEAVE
CERTIFICATION OF LEAVES
AS OF: __________
______ Vacation Leave (days)
______ Sick Leave (days)
______ Emergency Leave
______ Admin Leave
______ Compensatory Leave

APPROVED FOR:
_____ Days with Pay
_____ Days without Pay

HR Officer

__________ APPROVED
__________ DISAPPROVED (Reason)
______________________________
______________________________



MANAGER


JOHN HAY MANAGEMENT CORPORATION
PSNL Form 7
APPLICATION FOR LEAVE OF ABSENCE
Name (Last Name, First Name, Middle Initial)

Department/Division

FROM : Total Number of days
1.5 days TO :

_______ Vacation Leave
____ x _ Sick Leave
Others (please
specify)

Employees Signature:

Date Filed: September 02, 2014
Recommended for:

_______ Approval
_______ Disapproval

Immediate Supervisor


Division Head
DETAILS OF ACTION ON LEAVE
CERTIFICATION OF LEAVES
AS OF: __________
______ Vacation Leave (days)
______ Sick Leave (days)
______ Emergency Leave
______ Admin Leave
______ Compensatory Leave

APPROVED FOR:
_____ Days with Pay
_____ Days without Pay

HR Officer

__________ APPROVED
__________ DISAPPROVED (Reason)
______________________________
______________________________



MANAGER

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