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Vacation and Sick Leave Form Template

Streamline Employee Leave Management with Our Customizable Templates

Managing employee leave can be challenging, especially when requests come in unexpectedly. This template is designed for HR managers and business owners who want to simplify the process of tracking vacation and sick leave. With this form, you can easily collect essential details, ensure compliance with company policies, and facilitate clear communication with your team. Enjoy seamless customization, easy embedding, and device-friendly functionality-all while maintaining WCAG-aligned accessibility. Ready to create your leave management solution?

Full name
Work email
Department or team
Manager or supervisor name
Type of leave requested
Vacation
Sick leave
Personal leave
Family and medical leave
Bereavement
Jury duty
Parental leave
Unpaid leave
Other
Please Specify:
Leave start date
Leave end date
If half day or specific hours, specify times (optional)
Brief reason for leave (do not include confidential health information)
Is this a full day or partial day leave
Full days
Half day
Specific hours
Not sure
Have you informed your manager about this request
Yes
No
Point of contact during your leave (name and contact details)
Handover notes or key tasks (optional)
Coverage plan for your responsibilities during leave
Yes, work is fully covered
Partially covered
No coverage yet
Not applicable
I have reviewed the company leave policy relevant to this request
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Typed signature (enter your full name)
Signature date
I confirm that the information provided is accurate to the best of my knowledge
True
False
Manager comments
Manager typed signature (enter full name)
Manager signature date
Manager decision
Approved
Conditionally approved
Denied
Needs more information
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Paper art illustration depicting a vacation and sick leave form design for FormCreatorAI article

When to use this form

Use this template when you need a clear, trackable way to request paid or unpaid time away. It suits planned vacations next month, a single sick day, or a partial day for a medical appointment. Supervisors get precise dates, coverage notes, and approvals in one place, so schedules and payroll stay accurate. If the day off is tied to a company holiday, route it through the Holiday request form. Absences related to military duty should go to the Military leave form. For broader needs beyond vacation or illness, the Time off request form can handle other scenarios.

Must Ask Vacation and Sick Leave Questions

  1. What type of leave are you requesting (vacation, sick, personal, other)?

    This categorizes the request so the correct policy and approvals apply. It also improves reporting and avoids delays caused by misrouted requests.

  2. What are the start and end dates and times, and is any portion a partial day?

    Precise timing lets managers plan coverage and avoid scheduling conflicts. It also keeps payroll, accruals, and overtime calculations accurate.

  3. Is this planned or unplanned (same-day) leave?

    This signals urgency and whether notice rules or documentation are required. For same-day illness, also log it with the Notification of absence form.

  4. How will your work be covered while you are out (backup person, handoff notes)?

    Listing coverage and key tasks reduces disruptions for teammates and customers. It gives approvers confidence to approve faster.

  5. Will this time be paid from PTO or sick balance, or unpaid, and do you need to attach a note?

    Selecting the pay source ensures correct accrual use and payroll treatment. A required medical note or other attachment helps HR verify eligibility and stay compliant.

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