Personal Leave of Absence Form

Personal Leave of Absence Form

A Personal Leave of Absence Form is a written document completed by an employee who wants to request time off work to take care of their personal matters. If you have important personal needs and you either cannot qualify for a regular leave or have exhausted your time off, you can still ask the organization you work for unpaid leave. It is possible the employer will approve your request if you try to minimize the negative consequences of your absence at the workplace. Alternatively, this statement can be used by a student who needs to deal with personal issues notifying their college or university about their unavailability in the nearest future.

Alternate Name:

  • Personal Leave of Absence Request Form.

A Personal Leave of Absence Form template can be downloaded below. Indicate your name and contact details, the name of the supervisor or manager responsible for approving time off work or studies, and the dates of the leave, outline the duties you will be unable to perform due to your absence, list the arrangements you have made to cover these responsibilities, and add any necessary remarks to your request. Sign and date the form.


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