Vacation and Time-Off Request Form

• Notice and approver lines to match your policy
• Employee and request details (vacation, banked time, personal day, unpaid time, leave protected by law)
• Dates table with full or part days and paid or unpaid
• Manager decision with a business reason
• Balance table for payroll
• Signatures and a Legal note on vacation entitlement, with British Columbia and federal examples of how the rules differ
• Fillable Word document and a print-ready PDF (3 pages)

Set the notice and approver lines to match your policy. The employee fills in the request and the dates, the manager records the decision and any business reason, and payroll completes the balance table. Keep the signed form with the employee’s records.

Small and growing Canadian businesses that want one consistent way to request, approve and track time off. For employees, managers, payroll and HR. One national version for employers in every province and territory except Quebec, and for federally regulated employers.