Volunteer Time Off Request Form

Request form for employees to submit volunteer time off, including organization details, activity hours, coverage planning, and supervisor approval.

Employee Information

• Employee Name
• Employee ID
• Department
• Work Location

Volunteer Organization and Activity

• Volunteer Organization Name
• Organization Type
• Volunteer Activity Description
  Briefly describe the service activity. Do not include sensitive personal information about others.
• Activity Location
• Is this a recurring volunteer commitment?

Requested Time Off

• Request Type
• Start Date
• End Date
• Start Time
• End Time
• Total Hours Requested
• Reason for Time Off
  Optional brief explanation if needed for policy review.

Work Coverage Plan

• Coverage Plan
  Describe how urgent tasks, meetings, or customer needs will be handled while you are away.
• Backup Contact
• Have you completed the handoff with your backup or team?
• Urgent Tasks or Deadlines
  List any critical deadlines or tasks that may be affected.

Employee Acknowledgment and Approval

• I confirm that this request follows the organization's volunteer time off policy.
• I consent to my request details being shared with my supervisor and HR for approval and scheduling purposes.
• Employee Signature
• Submission Date
• Supervisor Comments