Employee Time Off Request Form

A simple one-page form for vacation, PTO, sick and other leave. The employee asks in writing, you check the balance and record your decision.

Word and PDF, 3 pages, US Letter, filled-in example included

First page of the employee time off request form

About this template

An employee time off request form puts a request for vacation, PTO or other leave in writing, with the dates, the hours and the manager’s decision. This free time off request form fits on one page. The employee fills in the top half. You check their balance, record your decision and sign, and payroll gets an accurate record.

What you get

A three-page PDF and a Word file you can edit, sized for US Letter paper:

  • Page 1: the blank time off request form, ready to print.
  • Page 2: the same form filled in for a fictional landscaping company.
  • Page 3: notes on handling requests, and a summary of leave that’s protected by law, with links to the sources.

The Word file has the form and the notes, so you can add your company name or change the leave types to match your policy.

What a good time off request form includes

  • The type of leave. Vacation or PTO, sick, personal, bereavement, jury duty, unpaid or other. One form per type keeps balances clean.
  • Exact dates and hours. One row per day or block of full days, with part days shown by time.
  • The balance. Hours available before the request and what’s left after, checked against payroll.
  • Coverage, if any. Useful for planned vacation, but never a condition for sick leave or other protected leave.
  • A clear decision. Approved, approved with changes or denied, with the reason written down.
  • Signatures and dates, plus a line to show the hours went into payroll.

How to handle a time off request

  1. Ask employees to submit planned requests by the deadline in your policy.
  2. Check the dates against the schedule and any other requests for the same days. First come, first served is a simple, fair rule.
  3. Check the balance in payroll and fill in the before and after figures.
  4. If you’re thinking of saying no, first check whether the leave is protected by law.
  5. Decide quickly, so the employee can plan. Write the reason for any denial or change.
  6. Sign, give the employee a copy, record the hours in payroll and file the form.

Completed example

The example is a vacation request from a crew lead at a fictional landscaping company. He asks for three full days and a half day before a holiday, 28 hours in all. His balance is 52 hours of PTO before the request and 24 hours after. He notes who will lead his crew, and the operations manager approves the request two days later and records it in payroll.

PTO, vacation and leave request forms

PTO request forms, vacation request forms and leave request forms are the same thing under different names. If you give one pool of paid time off, tick “Vacation or PTO” for planned time and “Sick” for illness, so you can see the pattern. If you keep separate vacation and sick balances, use one form per type, so each balance stays right.

Sick days, emergencies and clashing requests

Not every absence can be requested ahead of time. When someone calls in sick or has a family emergency, let them tell you by phone or text, then fill in the form together when they’re back, ticking the right type of leave. Don’t treat a late form as a reason to refuse sick leave that the law protects.

When two people want the same days, decide on a rule before it happens and write it in your policy. First come, first served is simple. Some businesses rotate popular holidays from year to year instead. Whichever you choose, apply it the same way to everyone and note the reason on the form.

Writing a simple PTO policy

The form works best with a short written policy. Your PTO policy should say:

  • How time is earned, for example per hour worked or per pay period, and any cap.
  • How to ask, how far ahead, and who approves.
  • Busy periods when time off may be limited.
  • Whether unused time carries over, and what happens to it when someone leaves. State law can decide this. California, for example, treats vested vacation as wages that must be paid out at termination (Labor Code 227.3).
  • How sick leave works, including any state or local paid sick leave law that applies to you.

Leave that’s protected by law

Some leave isn’t yours to refuse. The FMLA covers employers with 50 or more employees in 20 or more workweeks this year or last. Eligible employees can take up to 12 workweeks of job-protected leave in a 12-month period (29 CFR 825.200). You can ask for notice and ask employees to schedule planned treatment to avoid unduly disrupting work (29 CFR 825.302). You can’t interfere with leave they’re entitled to.

State and local paid sick leave laws can bar you from denying sick days or requiring the employee to find cover. California is one example (Labor Code 246.5). Federal law protects employees serving on a federal jury (28 U.S.C. 1875). USERRA protects employees who serve in the military, at employers of every size (20 CFR 1002.34).

When to get advice

Get advice before you deny or count against someone any leave for their own or a family member’s health, a disability, jury service or military duty. Do the same if an employee has recently complained or asked for an accommodation.

Not sure what your state requires for sick leave or PTO payout? hrsupport.io gives HR answers for your state, with the law behind every answer.

How to use it

  1. Tell employees how far ahead to ask for planned time off, and put that rule in your handbook.
  2. The employee fills in the top half, with the type of leave, the dates and hours, and the total.
  3. Check the balance in payroll and fill in the before and after figures.
  4. Before you deny a request, check whether the leave is protected by law.
  5. Tick your decision, write the reason for any denial or change, and sign.
  6. Give the employee a copy, record the hours in payroll and file the form.

What’s on the form

  • Employee, job title, manager and request date
  • Type of leave, from vacation or PTO and sick leave to bereavement, jury duty and unpaid
  • A dates and hours table for full and part days
  • Total hours, with the balance before and after the request
  • Coverage and notes, with a reminder that coverage is never a condition for protected leave
  • Manager's decision, the reason for any denial or change, and signatures
  • A line to confirm the hours were recorded in payroll

Ideal for

  • Small businesses that track PTO on paper or in a spreadsheet
  • Managers who approve time off for a small team
  • Office managers who run payroll

Common uses

  • Approving a vacation or PTO request
  • Recording a sick day, bereavement leave or jury duty after the fact
  • Keeping a paper trail when you deny or change a request

Ready to use it? It’s free, and comes with a filled-in example.

Template questions

Questions, answered.

How far in advance should employees request time off?

That's up to your policy for ordinary vacation and PTO. Pick a rule that fits your business, such as two weeks for planned time off, and apply it to everyone. Sick leave is different, because illness can't be planned. For foreseeable FMLA leave, you can ask for 30 days' notice, or notice as soon as practicable if that isn't possible. State sick leave laws may set their own notice rules.

Can an employer deny a time off request?

Yes, for ordinary vacation or PTO, if your policy allows it and you treat everyone the same way. Write down the reason. You can't refuse leave that's protected by law just because it's inconvenient, such as FMLA leave, state paid sick leave, jury duty or military service. If you're unsure whether a request is protected, get advice before you say no.

Do I have to pay employees for time off?

Federal wage law doesn't require pay for time not worked, such as vacation, sick days or holidays. That's set by your policy, unless a state or local paid sick leave law applies. Check your state's rules on unused vacation when someone leaves. In California, for example, vested vacation must be paid out at termination and can't be forfeited.

Can I make an employee find their own cover?

For vacation, you can ask, as long as you apply the rule fairly. For sick leave, be careful. California, for example, bars employers from requiring an employee to find a replacement as a condition of using paid sick days. That's why the form treats coverage as optional and says it's never a condition for protected leave.

Is a PTO request form different from a vacation request form?

Not really. A PTO request form, a vacation request form and a leave request form all do the same job. The employee asks for specific days in writing and the manager approves or denies them. This template covers all of them, with a box for each type of leave. If you keep separate balances for vacation and sick leave, use one form per type.

Should time off requests be in writing?

It's good practice. A written request shows exactly which days and hours were asked for, what was approved and when. It also keeps payroll accurate. If an employee calls in sick or has an emergency, let them tell you by phone, then fill in the form together when they're back.

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