Employee Request for Leave of Absence Form
for Your StateThis Employee Request for Leave of Absence form will effectively request a leave of absence from work. This request can easily be tailored to fit your unique needs.

This Employee Request for Leave of Absence requests specific dates for a leave of absence. This request contains the name of the employee, date of the request and the specific days for which leave is requested. It also sets forth if the employer approves or denies this request. A written Employee Request for Leave of Absence will be helpful in the event there are questions or misunderstandings about an employee's absence from work.
This Employee Request for Leave of Absence contains:
Protect your rights by using our attorney-prepared forms.
This attorney-prepared packet contains:
This Employee Request for Leave of Absence contains:
- Employee Information: Sets forth the name of the employee and the days which he or she requests for a leave of absence;
- Employer Response: Gives the employer's approval or denial of this request.
Protect your rights by using our attorney-prepared forms.
This attorney-prepared packet contains:
- General Instructions
- Employee Request for Leave of Absence
Number of Pages2
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#29256