Leave Verification Form
A leave verification form is required to authorize the individual applying for a leave. The form contains details like the reason for applying the leave and also other information like the employment details of the individual and the total number of leaves availed.
Sample Leave Verification Form: Employee details:
Name of the employee: First name _______ Middle name __________ Surname _______
Designation: __________
Employee id number: _________
Department: __________
Department extension number: ___________
Leave details:
Reason for taking leave: __________________________
Leave application dates:
From: ___________
To: _____________
Total number of days applied for leave: ___________
Total number of paid leaves allotted per year: ______________
Leaves already taken:
Casual leave: From _________ to _______________
Special Casual Leave: From _________ to ______________
On Duty Leave: From _________ to ______________
Sick leave: From _________ to ______________
Other leave: ______________
Status of leave applied (select the appropriate option):
- Approved
- Rejected
If rejected, reasons for rejection: _____________________________________
__________________ Dated: ____________
Signature of applicant
_____________________ Dated: _____________
Signature of behalf of employer
Category: Verification Forms

