LEAVE FORM LEAVE FORM

Type of Leave: Type of Leave:

Date Filed: Date Filed:

Name of Employee: Name of Employee:

Reason: Reason:

Date/s: Time: Date/s: Time:

Signature of Employee Name and Signature of Alternate Signature of Employee Name and Signature of Alternate
Employee Employee

Supervisor Manager Supervisor Manager

LEAVE FORM LEAVE FORM

Type of Leave: Type of Leave:

Date Filed: Date Filed:

Name of Employee: Name of Employee:

Reason: Reason:

Date/s: Time: Date/s: Time:

Signature of Employee Name and Signature of Alternate Signature of Employee Name and Signature of Alternate
Employee Employee

Supervisor Manager Supervisor Manager