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Time Off Request Form PDF template

Leave requests arrive from every direction at once. This one asks for the first day off, the last day off, the type of leave, and who is covering the work.

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Free to start. You get an editable copy — add or move fields, then share the link. Or download the blank PDF to print and fill in by hand.

Fields included

  • Employee name
  • Department or team
  • First day off
  • Last day off
  • Type of leave (vacation, sick, other)
  • Notes

How to use this template

  1. 1 Click "Use this template" to get your own editable copy.
  2. 2 Adjust the fields — add, remove, or move them to fit your needs.
  3. 3 Publish and share the link. Each response comes back as a completed PDF.
Time Off Request Form template preview

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