Parental Leave Request
HR-015
Page 1 of 1
Employee
Employee Name
Employee ID
Department
Manager
Leave Plan
Expected Start
Expected Return
Total Weeks
Type
Birth
Adoption
Foster Placement
Decision
Approve
Deny
Needs More Information
Employee Signature
HR Representative
Date
Confidential · Acme Corporation HR
HR-015 · Parental Leave Request · Page 1 of 1
