Sick Leave Request Form
Employee Name: __________________________
Employee ID: __________________________
Designation: __________________________
Contact Number: __________________________
Sick Leave Details
Leave Details :
From: ______ /______ / _______ To : _______ / _______ / ________
Total Days Requested : _________________
Reason of Leave : ___________________________________________
Doctor’s Note Attached ( If Applicable )
Yes No
Employee Signature: _________________________
Date : ______ / _______ / _______
Manager Approval:
Approved Not Approved
Remarks: ___________________________________________
Manager’s Name: _____________________
Signature: _____________________
Date: _____ / _____ / ________