[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-176567-105":53,"doc-detail-176567-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","sample-leave-of-absence-request-form-workplace-leaves","Sample Leave of Absence Request Form - workplace leaves","","Workplace leave request guidance and employee acknowledgement language covering statutory leave eligibility, required signed submission, and Human Resources approval. It specifies advance timing (typically 30 days) except for urgent or emergency situations, including possible retroactive approval. It explains how leave periods can be continuous or intermittent, document support requirements, rolling 12‑month leave calculation, and obligations for cooperation, information sharing, and expected return-to-work updates. It also outlines benefits program separation, job protection limits, and non-discrimination with consequences for false information or noncompliant conduct.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/sample-leave-of-absence-request-form-workplace-leaves/176567/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/sample-leave-of-absence-request-form-workplace-leaves/176567.png","ImageObject",442,249,{"name":88,"@type":89},"Asher","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-10-23","2026-09-02",true,{"@type":98,"interactionType":99,"userInteractionCount":8},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"Who must receive and approve a leave request?","Question",{"text":108,"@type":109},"Leave requests cannot be approved by your supervisor. Human Resources must receive and approve the signed Request, supported by proper documentation.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How far in advance must employees submit a leave request?",{"text":113,"@type":109},"Absent a medical emergency or urgent and unexpected event, requests must be submitted at least 30 days before the proposed leave date. Urgent situations require submission as soon as possible under the stated emergency timing rules.",{"name":115,"@type":106,"acceptedAnswer":116},"How is available leave calculated?",{"text":117,"@type":109},"Available leave is calculated on a rolling 12-month period looking backward. Leave taken in the previous 12 months is subtracted to determine total available leave.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},176567,1788324833,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":8,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":47,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":125,"read_time":73},687197207639,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","TO BE COMPLETED BY EMPLOYEE\n\u000f\nTo the best of my understanding and belief, all of the information set forth above is true and correct. I have read the Important Information Regarding Workplace Leaves and understand my obligations discussed in that Form and in this Request.  I agree to comply with all of my obligations. My employment may be subject to discipline or termination, or my leave may be canceled, if I fail to comply with those obligations.\nReceived by Human Resources\n\u000f\nImportant Information Regarding Workplace Leaves\nThe following information is provided to assist you in preparing the Request for Leave of Absence form (“Request”):\nGranting of Leaves - Statutorily authorized workplace absences (FMLA, pregnancy leave, active duty military leave, state law mandated leaves, etc.) will be granted once the Company receives an appropriate, signed Request, which is supported by proper documentation.  Other requests will be evaluated on a case-by-case basis in keeping with the reason for the request and the Company’s business needs.  Leave requests cannot be approved by your supervisor; they must be received and approved by Human Resources.\nTiming of Leave Requests - Absent a medical emergency, or an urgent and unexpected event (i.e., an emergency placement of an adopted/foster child in your home; an unexpected call to active duty, etc., an Emergency FMLA leave, or an Emergency Paid Sick Leave), all leave requests must be submitted at least 30 days prior to the proposed leave date.  Requests to extend an existing leave of absence should be made as soon as you become aware of a potential need to extend the leave period, and usually no later than two weeks before the end of the current leave period.\nFor urgent or emergency leave situations, the Request should be submitted as soon as possible, and the earlier of (a) 15 days after the leave period commences or (2) two work days after your return from leave. In emergency or unexpected leave situations, the Company may approve a request retroactively to the day of your first absence.  Noncompliance with these obligations may, in compliance with governing laws, result in a denial of the leave request or the imposition of discipline, including termination.\nRequesting Leave Periods - As authorized by law, a leave request may involve blocks of time (consecutive days/weeks/months) or intermittent or irregular periods of time (half-days; every Friday, etc.).  The nature and extent of the requested leave period(s) should be clearly specified in the Request form, which must be supported by appropriate documentation (Medical Certification, etc.).  During the approved leave period, you may request a change in leave designation (i.e., from a full leave, to partial days), based on changed or ongoing circumstances.  Available leave is calculated on a rolling 12 month period looking backward. Leave taken in the previous 12 months will be subtracted to determine total available leave.\nContact Human Resources for Information about Benefits, Disability and Other Programs - Your leave request is unrelated to benefits or obligations you may have under short-term disability, long-term disability, workers’ compensation, disability rights laws, or other Company, private or state-sponsored health, welfare, or benefit programs. Contact Human Resources with questions regarding your potential benefits and obligations under these programs.\nCooperation and Assistance - Before and during the proposed workplace absence, you must (i) work cooperatively with the Company to evaluate and process this Request, (ii) assist us in meeting workplace needs associated with your planned or continuing absence (including the sharing of passwords, keys, or important information to assist co-workers in your absence), and (iii) keep your supervisor and Human Resources apprised of issues affecting your status and expected return to work date.  Failure to timely provide such information and assistance may, under appropriate circums","cbCaisfEmxARCPyR","https://ap.wps.com/l/cbCaisfEmxARCPyR","docx",56448,"English","# Important Information Regarding Workplace Leaves\n## Granting of Leaves\n## Timing of Leave Requests\n## Requesting Leave Periods\n## Contact Human Resources for Benefits and Programs\n## Cooperation and Assistance\n## Submission of the Leave Request\n## Job Protection\n## Non-Discrimination/Non-Retaliation Statement","[{\"question\":\"Who must receive and approve a leave request?\",\"answer\":\"Leave requests cannot be approved by your supervisor. Human Resources must receive and approve the signed Request, supported by proper documentation.\"},{\"question\":\"How far in advance must employees submit a leave request?\",\"answer\":\"Absent a medical emergency or urgent and unexpected event, requests must be submitted at least 30 days before the proposed leave date. Urgent situations require submission as soon as possible under the stated emergency timing rules.\"},{\"question\":\"How is available leave calculated?\",\"answer\":\"Available leave is calculated on a rolling 12-month period looking backward. Leave taken in the previous 12 months is subtracted to determine total available leave.\"}]","Sample Leave of Absence Request Form - workplace leaves | DOCX"]