ABC, Inc.

APPLICATION FOR LEAVE

Instructions for completing the Application for Leave Form: 1. The Application for Leave form must be completed and submitted prior to individual proceeding on le 2. All sections of this form must be fully completed. Incomplete forms will cause a delay in processing. 3. Sections 1 and 2 is to be filled and Section 3 to be certified by the employee. Section 4 will be filled by

SECTION 1 - INDIVIDUAL DETAILS Title: Family Name: Given Name(s): SECTION 2 - LEAVE DETAILS Leave Type: First Day of Leave Annual Leave Last Day of Leave Employee ID or SSN: Department: Contact Phone:

SECTION 3 - CERTIFICATION

I certify that the leave/absence requested above is for the purpose(s) indicated. I understand that I m procedures for requesting leave/approved absence (and provide additional documentation, including that falsification of information on this form may be grounds for disciplinary action, including remova

SECTION 4 - APPROVAL Supervisor's Name:

LEAVE

dividual proceeding on leave(sick leave excepted). e a delay in processing. Section 4 will be filled by the supervisor.

Annual Leave Sick Leave Compassionate Leave Family Leave Maternity Leave Bereavement Leave Other Leave 0 TRUE

loyee ID or SSN: artment: act Phone:

TRUE Disapproved Approved

ed. I understand that I must comply with my employing agency's ocumentation, including medical certification, if required) and action, including removal.

Follow the steps to enable your online Application for Leave Form.
1) 2) 3) Type the name of your company: ABC, Inc. Fill the Leave Type list at the right. You can leave the unused ones blank. To be displayed at the top of the form, there are 3 instruction lines available. You can see sample instructions below, you can update if necessary; 1. 2. 3. 4) All sections of this form must be fully completed. Incomplete forms will cause a delay in processing. Sections 1 and 2 is to be filled and Section 3 to be certified by the employee. Section 4 will be filled by the supervisor.

The Application for Leave form must be completed and submitted prior to individual proceeding on leave(sick leave excepted

To be displayed at Section 3, there is a certification space available. You can see a sample certification note below, you can update if necessary:

I certify that the leave/absence requested above is for the purpose(s) indicated. I understand that I must comply with my employing requesting leave/approved absence (and provide additional documentation, including medical certification, if required) and that fals form may be grounds for disciplinary action, including removal. 5) Visit the site below: http://www.spreadsheetweb.com/getting_started.htm You will only need the username and password to create your online Application for Leave Form. 4) Visit the site below: https://www4.spreadsheetweb.com/SpreadsheetWEB// Login to page with your new account information. 5) 6) >> >> Click "Add Web Application" to upload this file. Your online Application for Leave Form will be created automatically. You can simply use the form from that link or place it on your website. You can reach and edit saved forms using "Data" tab. Your online Application for Leave Form will look like: https://www4.spreadsheetweb.com/SpreadSheetWEB/Output.aspx?ApplicationId=a4558514-077e-47ad-9bcc-23a0c2b4aba4 In order to see more online applications created with PSW you can check the link below: http://www.spreadsheetweb.com/demos.htm

You can keep track of application for leave records using this form. Every time information of a new application is submitted, the for

Leave Type List Annual Leave Sick Leave Compassionate Leave Family Leave Maternity Leave Bereavement Leave Other Leave

g on leave(sick leave excepted).

sing.

lled by the supervisor.

st comply with my employing agency's procedures for ation, if required) and that falsification of information on this

automatically.

pplication is submitted, the form is saved.

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