Leave request form (Word, print + digital)
Standard leave request form for your team: leave type, period, balance and manager approval. Fill in directly in Word or print.
This free leave request form standardises leave requests in your company: the employee fills in leave type, period and number of days, HR or the manager records the balance and the decision. Every request and approval is documented — no more verbal agreements disputed afterwards.
The form also includes a special-leave field; the conditions are in your collective agreement or employment contract. Fill in using Word or print for the shop floor.
What's inside?
- Fields for employee, leave type, period and number of days
- Balance block for HR or manager
- Decision block: approved/rejected with signature
- Easily adapted to your own branding
- Works in Word, Google Docs and LibreOffice
Frequently asked questions
Can an employer refuse a leave request?
Only for compelling business reasons, communicated in writing within two weeks of the request. Otherwise the leave is in principle set as requested by the employee.
What counts as special leave?
Think of weddings, moving house, bereavement or a doctor visit. Dutch law only regulates emergency and care leave; other special leave is set in the CAO or employment contract.
Is there a digital alternative?
Yes — with PrikKlokPlus employees request leave in the app, the manager sees the current balance and approves with one click. This form is the paper alternative.
🔜 Free next week
Dutch holidays calendar 2026–2027 (.ics)
All official Dutch public holidays of 2026 and 2027 as an .ics file — import at once into Outlook, Google Calendar and Apple Calendar.
Available from 01/09/2026