Leave of Absence Extension Request

Leave of Absence Extension Request — Form Fields

This hr template includes 6 fields. Allows employees currently on leave to request an extension of their approved leave period. Captures the reason for extension and updated return date. Free to customize and use on ZenBuild.

• Employee Name (text, required)
• Original Leave Start Date (text, required)
• Original Approved Return Date (text, required)
• Requested New Return Date (text, required)
• Reason for Extension (dropdown selection, required) — options: Continued medical treatment, Caregiver responsibility, Recovery not yet complete, Personal circumstances
• Updated Medical Documentation (file upload, optional)