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Leave Application Form Template

A simple, printable leave application form that captures everything HR needs — leave type, dates, balance, cover-up arrangements and manager approval.

Why this matters

Leave disputes are the second-most common HR headache after payroll errors. A standard leave application form captures the right information up front, documents manager approval, and creates an audit trail that prevents 'I never approved that' conversations three months later. Use it even if you run leave through Peoplifi — the signed form is useful in probationer disputes and labour hearings.

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Get a properly formatted Microsoft Word (.docx) file with headings, bullets and placeholders already styled. Replace all [SQUARE BRACKETS] with your own details.

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LEAVE APPLICATION FORM

[COMPANY NAME]

To: The Human Resources Department
Date: ____________________

1. EMPLOYEE DETAILS
Name:           ____________________________________
Employee ID:    ____________________________________
Department:     ____________________________________
Designation:    ____________________________________
Reporting Manager: _________________________________

2. TYPE OF LEAVE REQUESTED
[ ] Annual (earned) leave
[ ] Casual leave
[ ] Sick leave / medical leave
[ ] Maternity leave
[ ] Paternity leave
[ ] Hajj leave
[ ] Bereavement leave
[ ] Leave Without Pay (LWP)
[ ] Other: __________________

3. LEAVE DETAILS
From (date):         ____________________
To (date):           ____________________
Total days requested: ____________________
First working day back: _________________

Reason (brief):
___________________________________________________
___________________________________________________

4. LEAVE BALANCE (to be filled by HR)
Current annual leave balance: ______
Current casual leave balance: ______
Current sick leave balance:   ______

5. COVER-UP ARRANGEMENT
During my absence, my work will be handled by:

Name:        ____________________________________
Designation: ____________________________________
Signature:   ____________________________________

6. CONTACT DURING LEAVE
Contact number: _______________________________
Reachable for urgent matters: [ ] Yes   [ ] No

7. APPLICANT DECLARATION
I declare that the information provided is correct. I will handover pending work and brief my cover before going on leave.

Applicant signature: ______________________
Date:                ______________________

8. MANAGER APPROVAL
[ ] Approved   [ ] Partially approved   [ ] Declined

Remarks:
___________________________________________________

Manager signature: ______________________
Date:              ______________________

9. HR PROCESSING
Leave balance updated:     [ ] Yes
Payroll impact noted:      [ ] Yes
Filed in employee record:  [ ] Yes

Processed by: ______________________
Date:         ______________________

How to use this template

  • Require cover-up arrangements for any absence longer than 2 days — it sets a professional norm
  • Medical leave above 2 consecutive days should be backed by a medical certificate attached to the form
  • Maternity leave requests should be paired with the separate maternity benefits form for PESSI/SESSI filing
  • Digitise this form inside Peoplifi — you get the same audit trail without the paper
  • Retain signed forms for at least 3 years for labour-inspection purposes

FAQs

Should the form be in Urdu or English?

English is fine for white-collar employees. For factory workers and field staff, a bilingual (Urdu + English) version is best practice and often expected by labour inspectors.

How far in advance should leave be requested?

Standard practice is 7 days' notice for planned annual leave and 24 hours for casual leave, with immediate notice for sick leave followed by documentation.

Can a manager decline a leave request?

Yes — for operational reasons, with reasons recorded. However, statutory entitlements (annual, sick, maternity) cannot be indefinitely denied.

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