Sick leave Application form 2025 Pdf Download
[Company Name]
Sick Leave Application Form
Employee Information:
Employee Name: ___________________________
Employee ID: ___________________________
Department: ___________________________
Job Title: ___________________________
Contact Number: ___________________________
Email Address: ___________________________
Leave Details:
Type of Leave: Sick Leave
Start Date of Leave: ___________________________
End Date of Leave: ___________________________
Total Number of Days Requested: ___________________________
Reason for Leave: (Please provide a brief description of your illness or medical condition)
Medical Certificate: (If required by company policy)
☐ Attached
☐ Will be provided upon return
Approval Section:
Employee Signature: ___________________________
Date: ___________________________
Supervisor/Manager Approval:
☐ Approved
☐ Denied
Comments: ___________________________________________
Signature: ___________________________
Date: ___________________________
HR Department Approval:
☐ Approved
☐ Denied
Comments: ___________________________________________
Signature: ___________________________
Date: ___________________________