Leave Application

Employee Leave Request — Kenya

Type of Leave Requested

Annual Leave

Sick Leave

Maternity Leave

Paternity Leave

Compassionate Leave

Study / Exam Leave

Unpaid Leave

Employee Details

Full NameFull Name

Staff No. / ID No.Staff / ID Number

DepartmentDepartment

Job TitleJob Title

Leave Days Balance (before this request)X days remaining

Supervisor / ManagerFull Name

Leave Period

From Date

DD/MM/YYYY

To Date

DD/MM/YYYY

Total Days Requested

X working days

Return to Work Date

DD/MM/YYYY

Application

ToHR Manager / Direct Supervisor Name

Date of ApplicationDD/MM/YYYY

Dear Sir / Madam / Name,

I, Your Full Name, Job Title in the Department department, hereby apply for X days of Annual / Sick / Maternity / Paternity / Compassionate leave, commencing on DD/MM/YYYY and resuming duty on DD/MM/YYYY.

Reason for leave: State your reason — e.g. planned personal travel / medical treatment / family matter / examination / maternity / paternity

During my absence, my duties will be handled by Colleague's Name. I can be reached at +254 7XX XXX XXX in case of urgency.

I trust that you will consider my application favourably. Thank you.

Yours sincerely,

EMPLOYEE

Name: Full Name

Date: DD/MM/YYYY

For Official Use — Supervisor / HR Approval

☐ Approved

☐ Not Approved

Leave Days Approved

Leave Type Confirmed

Remarks

Date of Decision

SUPERVISOR / HR MANAGER

Name: Full Name

Title: Title

HOD / DIRECTOR (if required)

Name: Full Name

Date: DD/MM/YYYY