First Name
Middle Name
Last Name
Position/Role
Department
Date of Submission
Type of Leave Requested
Unpaid Time Off
Paid Time Off (PTO)/Vacation
Sick Leave
Personal/Emergency Leave
First Day Away
Last Day Away
Total Number of Shifts/Days Missed
Returning to Work On
Reason for Request
Note: Depending on house policy, you may be required to find coverage before this request is finalized.
Has coverage been arranged?
Yes
No
N/A
If yes, name of replacement staff
I understand that submitting this form does not guarantee approval.
I acknowledge that requests are granted based on business needs, staffing levels, and the order in which they were received.
I agree not to make non-refundable travel arrangements until I receive written confirmation of approval.
Employee Signature
Date Received
Status
Approved
Denied
Pending
Manager Notes
Manager Signature
Form Template Insights
Please remove this form template insights section before publishing.
In many industries, an "End Date" is sufficient. In F&B, however, shifts can span across midnight or begin at dawn.
A restaurant is a collection of specialized stations. You cannot easily swap a Sous Chef for a Bartender.
Days off do not always equal shifts missed. An employee taking a weekend off might miss four shifts if they usually work "doubles."
This section turns a request into a proactive solution.
Fairness is the backbone of staff retention in hospitality.
Mandatory Questions Recommendation
Please remove this mandatory questions recommendation before publishing.
To configure an element, select it on the form.