Company Logo
HOLIDAY / LEAVE REQUEST FORM
Request Ref: 2025-001
Date Requested:
Employee Details
Employee Name
Employee / Payroll ID
Department
Job Title
Email
Phone
Type of Leave
Annual Leave (Holiday)
Sick Leave (Self-certified / Fit Note)
Compassionate / Dependency
Maternity / Paternity / Adoption
Unpaid Leave
TOIL (Time Off In Lieu) / Other
Leave Dates & Type
First Day of Absence
Last Day of Absence
Return to Work Date:
Total Days / Hours:
Handover & Contact
Reason (Optional for Annual Leave)
...
Handover Colleague-
Emergency Contact-
I request this leave in accordance with the Working Time Regulations and Company Handbook.
I confirm I have sufficient leave entitlement remaining.
I confirm I have sufficient leave entitlement remaining.
EMPLOYEE SIGNATURE
Date Signed: ___/___/20__
LINE MANAGER APPROVAL
Signature / Approval
HR AUTHORISATION
Record No: _______
* Sickness absence of more than 7 days requires a Fit Note from a GP.
Company Logo
HOLIDAY / LEAVE REQUEST FORM
Request Ref: 2025-001
Date Requested:
Employee Details
Employee Name
Employee / Payroll ID
Department
Job Title
Email
Phone
Type of Leave
Annual Leave (Holiday)
Sick Leave (Self-certified / Fit Note)
Compassionate / Dependency
Maternity / Paternity / Adoption
Unpaid Leave
TOIL (Time Off In Lieu) / Other
Leave Dates & Type
First Day of Absence
Last Day of Absence
Return to Work Date:
Total Days / Hours:
Handover & Contact
Reason (Optional for Annual Leave)
...
Handover Colleague-
Emergency Contact-
I request this leave in accordance with the Working Time Regulations and Company Handbook.
I confirm I have sufficient leave entitlement remaining.
I confirm I have sufficient leave entitlement remaining.
EMPLOYEE SIGNATURE
Date Signed: ___/___/20__
LINE MANAGER APPROVAL
Signature / Approval
HR AUTHORISATION
Record No: _______
* Sickness absence of more than 7 days requires a Fit Note from a GP.