Employee Personal Time Off Request Form

Employee Personal Time Off Request

Mission Acres Inc.
Employee Name*

First NameMiddle NameLast Name
E-mail*
example@example.com
Department:*
Contact Number*

Area CodePhone Number
Supervisor's Name*
Requested Leave Start Date*

MonthDayYear
Requested Leave End Date*

MonthDayYear
Return to Work Date*

MonthDayYear
Reason*
Additional Comments
EMPLOYER DECISION - PERSONAL TIME OFF REQUEST

This section to be completed by employee's supervisor, for approval/decline of personal time off request:

Date of Decision:_________________ ___ Approved ___ Declined

Supervisor Name:___________________, Supervisor Signature:________________
Personal Time Off Request Submission Policy:

Employees must submit this formal request for planned time off a minimum of 30 days in advance. If it is not possible to give such notice due to unexpected illness, or exemptions under the Alberta Employment Standards Act, the employee must communicate with their direct supervisor immediately.

Submitting this form does not guarantee the personal time off requested approval. Approval of the request will be provided by the employee's immediate supervisor via email within 7 days of the request being submitted.

Any questions or concerns can be directed to the employee's direct supervisor or the Facility Director, Elisha Edwards via email at Elisha@missionacres.ca
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