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Time off request

Request an absence and record the manager’s decision.

Send to an employee

The form

What it asks

  1. Manager decisionApproved / Not approved / More information needed

Your people

Who has it

Not sent to anyone yet.

Blank copies

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A blank PDF to fill in by hand, in English or Español.

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Email the Español copy

Prepared on Oct. 27, 2026.

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Front Range Roofing Co.

1100 Plum Creek Parkway, Suite 210, Castle Rock, CO, 80104

(720) 555-0129 · office@frontrange-roofing.example

https://frontrange-roofing.example

Time off request

Use this form to request time away and record the decision. Submitting a request does not itself approve the absence.

Employee name / Department / Supervisor

Space to complete on the printed form

Requested start date and time / Return date and time

Space to complete on the printed form

Type of time off / Hours requested

Space to complete on the printed form

Available balance, if applicable

Space to complete on the printed form

Reason or supporting information, if needed (do not include a medical diagnosis)

Space to complete on the printed form

Coverage or handoff arrangements

Space to complete on the printed form

Employee signature / Date submitted

Space to complete on the printed form

Manager decision

Approved / Not approved / More information needed

Space to complete on the printed form

Approved dates and hours / Paid or unpaid / Applicable policy

Space to complete on the printed form

Explanation and next steps

Space to complete on the printed form

Manager signature / Date / Date employee notified

Space to complete on the printed form