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Questionnaire template

Time-Off Request

Request form for employees asking for leave: leave type, dates and length, availability, reason and manager approval.

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Human Resources · Employee. All Human Resources templates

Questions in this template

About You

  1. Use this form to request time away from work. Complete details help your manager and HR review and plan for your absence quickly.

  2. Your name

    Open answer

  3. Which department do you work in?

    Choose one from a list:

    • Administration
    • Human Resources
    • IT
    • Marketing
    • Sales
    • Finance
    • Operations
    • Other

  4. Please name your department.

    Asked only when q_department.outcome == 8

    Open answer

  5. Your employee number

    Open answer

Your Absence

  1. What kind of leave is this?

    Choose one:

    • Vacation
    • Sick leave
    • Personal leave
    • Parental leave
    • Unpaid leave
    • Other

  2. Please describe the type of leave.

    Asked only when q_leave_type.outcome == 6

    Open answer

  3. First day of your absence

    Open answer

  4. Last day of your absence

    Open answer

  5. How many working days will you be away in total?

    A number from 1 to 260

  6. Can colleagues reach you while you are away if something urgent comes up?

    Choose one:

    • Yes
    • No

  7. How and when is it best to reach you?

    Asked only when q_contactable.outcome == 1

    Open answer

Reason and Notes

  1. If you wish, give a short explanation for this absence (optional).

    Open answer

  2. Is there anything else your manager should know, such as handover or cover arrangements?

    Open answer

Approval

  1. Have you already talked to your line manager about this request?

    Choose one:

    • Yes
    • No

  2. Name of the manager who will approve this request

    Open answer

  3. Do you understand that the days requested will be taken from your remaining leave allowance?

    Asked only when q_leave_type.outcome is None or q_leave_type.outcome != 5

    Choose one:

    • Yes
    • No

  4. Please explain your concern about the deduction.

    Asked only when q_balance_acknowledged.outcome == 2

    Open answer