Templates / Leave request form

Free leave request form for small companies (Word)

Download a free leave request form in Word, in English and Georgian. On one page it records who is asking, which leave and which dates, who covers the work while they are away, the manager’s decision, and the days remaining, so a request never lives only in a chat message.

Preview of the template
The file as it opens. The download is below; the pages that follow explain every section.
Free download, no sign-up

.docx, one page, no macros · opens in Google Docs and Pages

Leave, remote work and equipment requests on paper? In PLYNTUM each request goes to a manager with the decision on record, and approved leave shows in the workload view, so cover is planned, not improvised.

What is in the leave request form

The file, plyntum-leave-request-form.docx, is a one-page form with five blocks:

  • Employee: name, position, manager, date of the request.
  • Leave requested: type (annual paid, unpaid, sick, parental, other), first and last day, working days, first day back, and an optional reason.
  • Cover while away: each client, project or recurring task, who covers it, and whether the handover is done, plus how the person can be reached, if at all.
  • Decision: approved, approved with changes, or declined, the changed dates or the reason, and the manager’s signature.
  • For the records: leave days before this request, days taken, days remaining, and who recorded it.

The document opens in Word, Google Docs and Pages. A grey note at the top explains how to use it; delete it before printing.

How to use it in a small team

  1. The employee fills in blocks 1 to 3 and arranges the cover before asking, not after. A request that already names who covers each client is approved faster.
  2. The manager decides on the same form and writes the reason when the answer is “with changes” or “no”, so the conversation does not have to be repeated later.
  3. Whoever keeps the records updates the days remaining. In a company of five that is the founder; keep one folder per person per year.
  4. Put the dates in the shared calendar and tell the clients the person covers, in writing, a week before.

Two copies: one with the employee, one in the folder. If you run leave through a tool instead of paper, the same five blocks are the fields that tool should have.

Leave entitlements, and what this form does not do

The form records a request and a decision. It does not decide how many days a person is entitled to: that comes from the employment contract, your company policy and the labour law that applies to the employment. In Georgia the Labour Code sets a minimum of 24 working days of paid leave a year, with further rules for unpaid, sick and parental leave; check the current text and your contracts before you rely on a number, and ask a lawyer for anything that is not routine. This template is not legal advice.

Keep the form the same for everyone. A request that is approved by message for one person and by form for another is the kind of inconsistency that becomes a dispute later.

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