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Free form template · Word

Restricted Holiday Request

A restricted holiday request lets an employee pick an optional holiday from the company's published restricted holiday list, within the yearly limit. It suits diverse teams where employees celebrate different festivals and lets the business stay open on those days.

  • Editable Word (.docx)
  • Made for India
  • 15 fill-in fields highlighted
  • Free, no sign-up

Preview of the form

[Highlighted] = fill in
[Company Logo][Company Name]

RESTRICTED HOLIDAY REQUEST FORM

Company:
[Company Name]
Year:
[YYYY]
Date:
[Date]

Employee Details

Employee Name[Employee Name]
Employee ID[Employee ID]
Department[Department]
Reporting Manager[Reporting Manager]

Restricted Holiday Requested

DateDayOccasion (from RH list)Full / Half Day
[DD/MM/YYYY][Day][Occasion][Full Day]
[DD/MM/YYYY][Day][Occasion][Full Day]
[ ] Floating holiday (date of my choice, if policy allows)[DD/MM/YYYY] – Occasion: [Occasion]

Entitlement Check

RH Allowed This YearRH Already AvailedRH Requested NowRH Remaining
[Number][Number][Number][Number]
Cover arrangement on the day
Customer / client commitments affected[ ] None [ ] Yes – [Details]

I request the above restricted holiday(s) and confirm that the date(s) are from the published list for [YYYY].

Employee
[Employee Name]
Date: [Date]

Approval

[ ] Approved [ ] Not approved – [Reason]
Attendance code: RH
Reporting Manager
[Reporting Manager]
Date: [Date]

What this template includes

  • Selected RH date and occasion from the published list
  • Count of RH already availed versus the yearly limit
  • Cover arrangement for customer-facing roles
  • Advance notice as per policy
  • Approval and attendance coding as RH, not leave

When to use it

  • Employees choosing their optional holidays for the year
  • Requesting a single RH close to a festival
  • Floating holiday schemes where employees pick any date
  • Teams where only a limited number can be off on the same RH

How to customise this template

  1. 1Paste your restricted holiday list into the reference table
  2. 2Set the yearly RH limit and advance notice
  3. 3Allow multiple RH selections in one form at year start
  4. 4Remove the floating holiday option if not offered

HR tips

  • RH should not be debited from regular leave
  • Unused RH usually lapses at year-end; remind employees
  • Approve requests fairly when many people choose the same day
  • Mark RH separately in attendance for accurate records

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Frequently asked questions

What is a restricted holiday?+

A restricted or optional holiday is a holiday from a published list that employees can choose to take, up to a set number per year, while the office stays open for others.

How many restricted holidays can be taken?+

Your company policy sets the number, shown in the holiday list as [Number] per year.

Can restricted holidays be carried forward?+

Usually not. Unused restricted holidays generally lapse at the end of the year unless your policy says otherwise.

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