Grove HR
Time Off Request Form
Employee Details
Employee Name
Employee ID
Department
Manager
Request Date
Job Title
Type of Leave Requested
Annual Leave
Sick Leave
Personal Leave
Compassionate Leave
Parental Leave
Unpaid Leave
Study Leave
Other (specify below)
Leave Period
Start Date
End Date
Total Days Requested
Return to Work Date
Current Leave Balance (to be completed by HR)
___
Annual Leave Remaining
___
After This Request
___
Days Used This Year
Reason / Comments
Please provide details (if applicable)
I confirm that I have arranged cover for my responsibilities during my absence where required.
Approval
Employee Signature
Signature
Date
Manager Approval
Signature
Date
Decision
APPROVED
DECLINED
Comments (if declined or conditionally approved)