Request for Time Off
Employee Name:
Date:
Please approve my time off request for the following:
I would like my time to begin on:
I would like to return to work on:
I would like to use this time as:
Vacation
Time:
Time:
□
Unpaid Time Off
□
NOTES:
Employee signature:
FOR DEPARTMENT MANAGER TO COMPLETE:
Time off request has been:
ACCEPTED
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DENIED
□
DENIED
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NOTES:
APPROVED: Department Manager
Date:
FOR MANAGING DIRECTOR TO COMPLETE:
Time off request has been:
ACCEPTED
NOTES:
APPROVED: Managing Director - Takis Sarikas
Date:
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