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    T HRD 025 Leave Form NEW

    Uploaded by

    Marshall james G. Ramirez
    This document is an application for leave of absence from employment. It collects information such as the employee's name and position, the type of leave being requested (e.g. vacation, sick, maternity), the period and number of days for the leave, the reason for the leave, and spaces for signatures approving or recommending the leave. If sick leave is requested, a section for a doctor's note is included. The form is to be filled out in duplicate, with one copy for the employee and one for HR records.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd

    T HRD 025 Leave Form NEW

    Uploaded by

    Marshall james G. Ramirez
    28 views1 page
    This document is an application for leave of absence from employment. It collects information such as the employee's name and position, the type of leave being requested (e.g. vacation, sick, maternity), the period and number of days for the leave, the reason for the leave, and spaces for signatures approving or recommending the leave. If sick leave is requested, a section for a doctor's note is included. The form is to be filled out in duplicate, with one copy for the employee and one for HR records.

    Original Title

    T-HRD-025-leave-form-NEW (1)

    Copyright

    © © All Rights Reserved

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    This document is an application for leave of absence from employment. It collects information such as the employee's name and position, the type of leave being requested (e.g. vacation, sick, maternity), the period and number of days for the leave, the reason for the leave, and spaces for signatures approving or recommending the leave. If sick leave is requested, a section for a doctor's note is included. The form is to be filled out in duplicate, with one copy for the employee and one for HR records.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    28 views1 page

    T HRD 025 Leave Form NEW

    Uploaded by

    Marshall james G. Ramirez
    This document is an application for leave of absence from employment. It collects information such as the employee's name and position, the type of leave being requested (e.g. vacation, sick, maternity), the period and number of days for the leave, the reason for the leave, and spaces for signatures approving or recommending the leave. If sick leave is requested, a section for a doctor's note is included. The form is to be filled out in duplicate, with one copy for the employee and one for HR records.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    of 1

    APPLICATION FOR LEAVE OF ABSENCE APPLICATION FOR LEAVE OF ABSENCE

    Date Filed: _______________________ Date Filed: _______________________

    EMPLOYEE'S NAME: DIVISION/SECTION: EMPLOYEE'S NAME: DIVISION/SECTION:


    POSITION: POSITION:
    LEAVE APPLIED FOR: LEAVE APPLIED FOR:
    Vacation Leave Vacation Leave
    Sick Leave Sick Leave
    Birthday Leave Birthday Leave
    Maternity Leave Maternity Leave
    Paternity Leave Others __________________________ Paternity Leave Others __________________________

    PERIOD OF LEAVE: TOTAL NO. OF DAYS: PERIOD OF LEAVE: TOTAL NO. OF DAYS:
    From: To: From To:
    Time: Time
    REASON / PURPOSE OF LEAVE: REASON / PURPOSE OF LEAVE:

    EMPLOYEE'S SIGNATURE: CLINIC (If SL): EMPLOYEE'S SIGNATURE: CLINIC (If SL):
    Doctor's Recommendation Doctor's Recommendation
    RECOMMENDED BY: Fit to work RECOMMENDED BY: Fit to work
    Not fit to work Not fit to work
    Recommend extention Recommend extention
    Signature over printed name of sick leave Signature over printed name of sick leave
    Sick Leave for: ________ days Sick Leave for: ________ days
    DEPT. HEAD / MANAGER Disapproved / No advise DEPT. HEAD / MANAGER Disapproved / No advise
    Approved Approved
    Disapproved / AWOL Disapproved / AWOL
    Reason: Co. Physician: _____________________ Reason: Co. Physician: _____________________

    License No: _______________________ License No: _______________________


    Signature over printed name Signature over printed name
    FOR HRMD USE ONLY FOR HRMD USE ONLY
    RECORD OF BALANCE: VL RECORD OF BALANCE: VL
    SL SL

    Available Credits : __________ ADVISE: Available Credits : __________ ADVISE:


    Less: This application : __________ With pay Less: This application : __________ With pay
    Balance : __________ Without pay Balance : __________ Without pay
    Others Others
    Recorded by: Certified by: Recorded by: Certified by:

    Signature over printed name Signature over printed name Signature over printed name Signature over printed name
    Note: This form should be filled out in two copies (1 - Employee's copy; 1 - HRMD copy) Note: This form should be filled out in two copies (1 - Employee's copy; 1 - HRMD copy)

    F-HRD-025 F-HRD-025
    Rev 1 12/20/22 Rev 1 12/20/22

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