Fillable Printable Employee Vacation Request Form - Nebraska

Employee Vacation Request Form - Nebraska

VACATION REQUEST FORM

All employees seeking to use vaca tion time must complete and submit a vacation request form. T he

number of vacation days requested, along with the beginning and end dates of the vacation are required. Also, all

vacation requests must be submitted by the requesting employee to their department supervisor for review and

approval. T he department supervisor s hall t hen submit the vacation request to the business o ffice for pr o cessing and

appro val. All vacation request for ms must

be submitted to the business office for processing and approval no later

than t wo (2) full weeks before the stated begin date of the re q uested vacatio n period . *NOTE: No vacation leave

shall be gra nted without t he prior rev i e w and a ppr oval of the employee’s supervisor. Further, no vacation

lea ve shal l be gra nted without proper submission of t hi s f orm to t he U ni on Col le ge Busine ss Office within two

(2) weeks prior to the begin date of the requested vacation period. **In the event of an emergency, the

employee along with their supervisor shall immediately contact the Director of Human Resources so that

arrangements regarding use of vacation days can be made.

Employee: ______________________________________________________________

(Last) (First) (MI)

Department: ___________________________________

Vacation Days Requested: _________________________ (Required)

Vacation Begin Date: _____________________________ (Required)

Vacation End Date: _____________________________

(Required)

Requested by:

__________________________________ _______________

Employee Date Requested

Reviewed and Approved by:

__________________________________ _______________

Employee Supervisor (Required) Date

(For Business Office use and purposes only)

T o tal Vacation Days Accrued: __________ Vacat ion Days Requested: __________

Vacation Days Remaining: __________

Verified By: ______________________________________ ________________

Coordinator of Payroll and Benefits Date

Appro ved by : ________________________________ ______________

Director of Human Resourc es Date