Employee Leave Request Form Template
All-in-one leave request covering PTO, sick, parental, and unpaid leave. Employee leave request form — PTO, sick leave, FMLA, approval sign-offs on one page. $49.
Single buyer, lifetime license — covers your business, free quarterly refreshes when laws change.
Not legal advice — review with counsel before signing.
Document details
What's in the template
4 sections, ordered from setup → assessment → support → close.
- 1Leave classification
- 2Dates and hours calculation
- 3Coverage and handover plan
- 4Manager and HR approvals
Who this is for
- →HR practitioners and people teams handling hr forms in US
- →Small-business owners running HR without a dedicated team
- →Managers preparing for a high-stakes employment conversation
- →Fractional HR consultants and PEO firms
- →In-house counsel partnering with HR on documentation
What you receive
- ✓Editable Microsoft Word (.docx) — open in Word, Pages, or Google Docs
- ✓PDF copy for archival + sharing
- ✓Google Doc-compatible export
- ✓Editorial guidance notes explaining each section
- ✓Single-buyer, lifetime commercial-use license
- ✓Free quarterly refreshes when law or best practice changes
- ✓Instant download — link emailed within seconds of payment
- ✓7-day refund window if the template isn't what you needed
Legal frameworks aligned
- Title VII of the Civil Rights Act 1964 — anti-discrimination
- Americans with Disabilities Act (ADA) — reasonable accommodation
- Family and Medical Leave Act (FMLA) — protected leave
- Fair Labor Standards Act (FLSA) — wage & hour
- State-specific final-pay rules (CA, CO, MA, MT — same-day)
Reference list — this template is designed to be defensible under these frameworks when used as intended. Not a substitute for counsel on a specific matter.
Frequently asked questions
Does this track balances?
This is the request form; track balances with our PTO Tracker spreadsheet.
Pairs well with
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View template →Employee Leave Request Form Template — $49
Editable .docx + .pdf + Google Doc. Instant download. Single-buyer lifetime license. Free quarterly refreshes.