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REQUEST FOR LEAVE OF ABSENCE

Name of Employee: Form No:


Company Assignment:
Position:
Leave Start Date: Leave End Date:
Reason/s for availing Leave of Absence:

Employee's Signature: Date of Filling:

Recommending Approval:

Immediate Superior
APPROVAL:
I am approving the Leave of Absence requested above and certify that I was properly notified prior to filling of said leave.
Approved by: Date

Please Note: A. One-day leave shall be filled at least three (3) days before the intended leave.
B. More than one day leave shall be filled at least five (5) days before the intended leave.

REQUEST FOR LEAVE OF ABSENCE


Name of Employee: Form No:
Company Assignment:
Position:
Leave Start Date: Leave End Date:
Reason/s for availing Leave of Absence:

Employee's Signature: Date of Filling:

Recommending Approval:

Immediate Superior
APPROVAL:
I am approving the Leave of Absence requested above and certify that I was properly notified prior to filling of said leave.
Approved by: Date

Please Note: A. One-day leave shall be filled at least three (3) days before the intended leave.
B. More than one day leave shall be filled at least five (5) days before the intended leave.