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Time Off Request Form for the United States

Time Off Request Form Template for United States

A standardized form used in United States workplaces to formally request and document employee time off requests, compliant with federal and state labor laws. The document facilitates the formal process of requesting leave, whether for vacation, sick time, personal days, or protected leave under various regulations such as FMLA. It captures essential information including employee details, type of leave requested, duration, and necessary approvals, while ensuring compliance with relevant employment laws and company policies. The form serves as an official record for both employer and employee, supporting proper leave tracking and documentation requirements.

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What is a Time Off Request Form?

The Time Off Request Form is a crucial document used across United States organizations to manage and track employee leave requests in compliance with federal and state employment laws. This standardized form becomes necessary whenever an employee needs to request time away from work, whether for vacation, illness, family matters, or other personal reasons. It includes fields for essential information such as employee identification, leave type, dates, and approval signatures, while incorporating relevant legal requirements such as FMLA considerations where applicable. The document serves multiple purposes: it creates a formal record of leave requests, ensures proper approval processes, helps maintain accurate attendance records, and supports compliance with labor laws and company policies. The form is designed to be adaptable to various types of leave while maintaining consistency in the request and approval process.

What sections should be included in a Time Off Request Form?

1. Employee Information: Basic details including employee name, ID, department, and position

2. Leave Request Details: Specific dates requested, type of leave (vacation, sick, personal, etc.), and total number of days/hours

3. Current Leave Balance: Statement of employee's current available leave balance by category

4. Coverage Plan: Information about how the employee's duties will be covered during their absence

5. Approval Section: Space for supervisor/manager approval, including name, signature, and date

What sections are optional to include in a Time Off Request Form?

1. FMLA Declaration: Additional section for when the leave may qualify under FMLA, including relevant certifications and notifications

2. Medical Documentation: Section to attach or reference medical documentation when leave is for medical reasons

3. Military Leave Details: Additional information required for military leave requests under USERRA

4. Emergency Contact: Contact information during leave period, used for extended leaves

5. Return to Work Plan: Section for documenting any special arrangements or accommodations needed upon return, particularly relevant for medical or extended leaves

What schedules should be included in a Time Off Request Form?

1. Company Leave Policy Summary: Brief overview of relevant company leave policies and procedures

2. Employee Rights Notice: Summary of employee rights under relevant laws (FMLA, ADA, etc.)

3. Leave Calculation Worksheet: Detailed breakdown of leave time calculation and impact on benefits

4. Supporting Documentation Checklist: List of required documentation based on leave type

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Jurisdiction

United States

Publisher

Genie AI

Document Type

Authorization Form

Cost

Free to use
Relevant legal definitions



































Clauses

























Relevant Industries

Healthcare

Technology

Manufacturing

Retail

Financial Services

Education

Government

Non-Profit

Construction

Professional Services

Hospitality

Transportation

Entertainment

Energy

Agriculture

Relevant Teams

Human Resources

Payroll

Benefits Administration

Employee Relations

Personnel Management

Compliance

Operations

Administration

Relevant Roles

Human Resources Director

HR Manager

Leave Administrator

Benefits Coordinator

Payroll Manager

Department Manager

Supervisor

Team Lead

Employee Relations Specialist

HR Generalist

Office Manager

Operations Manager

Chief Human Resources Officer

HR Business Partner

Compliance Officer

Industries








Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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