Leave / PTO request

Handle vacation, personal leave, and sick days with dates and supporting documents.

Use this template

Leave request

Employee name

First Name

Last Name

Employee ID

Department

Type of leave

Vacation Sick leave Personal day Bereavement Parental leave Other:

Medical certificate

Max 10 MB per file · pdf, jpg, jpeg, png

Attach the note issued by your doctor.

First day of leave

Last day of leave

Business days requested

Who will cover your work?

Comments for your supervisor