Fillable Printable Employee Vacation Request Form - Arkansas
Fillable Printable Employee Vacation Request Form - Arkansas
Employee Vacation Request Form - Arkansas
OFFICE OF HUMAN RESOURCES
REV. 08/2009
Vacation Request Form
Vacation Information
Employee Name:
Date:
Department:
Hire Date:
Supervisor’s Name:
Vacation Entitlement:
Employed One (1) Year = One (1) week vacation (5 work days)
Employed Two (2) Years = Two (2) weeks vacation (10 work days)
Employed Three (3) or more years = Three (3) weeks vacation (15 work days)
Dates of Vacation: From:
To:
Previous # of days taken: _____
# of days for this request: _____
Balance of vacation remaining: _____
You must submit requests for absences (except sick leave) two days prior to the first day that you will be absent.
Employee’s Signature
Date
Supervisor’s Signature
Date
Cabinet Level Approval
Approved
Rejected
Comments:
Cabinet Level Signature
Date
