Time-off Justification Form
Submit your time-off request with justification for HR and management review.
Employee Full Name
*
First Name
Last Name
Employee ID
*
Department
*
Please Select
Human Resources
Finance
IT
Marketing
Operations
Other
Contact Email
*
example@example.com
Type of Time-off
*
Sick Leave
Personal Leave
Vacation
Bereavement
Other
Start Date of Absence
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
End Date of Absence
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Total Number of Days Requested
*
Reason for Time-off (Justification)
*
Attach Supporting Document (if applicable)
Upload a File
Drag and drop files here
Choose a file
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Additional Comments (Optional)
Manager/Supervisor Comments
Submit Request
Should be Empty: