What's on it
- Employee, department, manager and date of the request
- The kind of leave
- First and last day off, return date and working days
- Reason, and who will cover
- Employee signature, then the manager's decision and signature
One page, US Letter. The picture shows example details; yours opens empty.
Good to know
- Count working days only, leaving out weekends and public holidays, unless your workplace counts differently.
- Both people can sign here with the Signature tool, so the form never has to be printed.
How to use it
- 1
Press the button. The template opens in the editor, empty.
- 2
Type into the boxes and tick what applies. Click any wording to change it, and add your logo or signature.
- 3
Download the finished PDF, or save it to your account to reuse.



