This customizable document, Employee Requests for Time Off, is taken from MCN Healthcare’s Medical Office Policy and Procedure Manual. For more than 20 years, MCN has been the health care industry’s leading provider of policy and procedure templates, forms, competencies and other compliance tools.

MCN’s templates save you time, money and resources, rather than developing healthcare policy and procedure manuals from scratch.

Here is some sample content from Employee Requests for Time Off:

	POLICY: It is the policy of this company to consider all properly submitted requests for time off, with or without pay, from all employees. When such requests are made in connection with earned or accrued benefit time, proper considerations will be given to the employee, with the welfare of patients foremost in mind. Initial approval of all such requests is required by Office Manager, but may be subject to Administrative approval if the benefit time is in question. When requests for time off are made by the employee who has not earned or accrued proper benefit time off, such requests,...
Second excerpt:
	...and then either approve or deny the request. If approved, a copy of the request is sent to the Payroll Department for processing with the employee's time card. The original is placed in the employee's personnel file. If the request is denied, further discussion with the employee will occur to agree on a more suitable time off. Sick Leave: Although no form is required for an employee to take earned sick leave time, proper notification to the supervisor and/or Office Manager must be made...