Free form template · Word

Work-from-Home Request

A work-from-home request form is used when an employee wants to work remotely for specific days instead of taking leave. It sets out the dates, the reason, deliverables, availability hours and the data-security commitments, so the manager can approve WFH with clear expectations.

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[Company Logo][Company Name]

WORK-FROM-HOME REQUEST FORM

Company:: [Company Name]
Request Date:: [Date]

1. Employee Details

Employee Name	[Employee Name]
Employee ID	[Employee ID]
Designation / Team	[Designation] / [Department]
Reporting Manager	[Reporting Manager]

2. WFH Details

Date(s): From [DD/MM/YYYY] To [DD/MM/YYYY]
[ ] Full day [ ] Part day	[Time] to [Time]
Reason (brief)
Location of work (city)	[City]
Availability / core hours	[Time] to [Time]
Phone during WFH	[Mobile Number]

3. Planned Deliverables

Task / Deliverable	Expected Output	Due
[Task]	[Output]	[DD/MM/YYYY]
[Task]	[Output]	[DD/MM/YYYY]
[Task]	[Output]	[DD/MM/YYYY]

4. Readiness and Security

Company laptop / approved device available
Stable internet connection with backup (mobile hotspot)
VPN and multi-factor authentication working
Will not use public or shared computers for company data
Confidential calls and documents will not be accessible to others at home
Will log in to collaboration tools and respond within agreed time

Declaration: I will follow the company's work-from-home, IT acceptable-use and confidentiality policies during this period and will return to office on [DD/MM/YYYY] or as instructed.

Employee
[Employee Name]
Date: [Date]

5. Approval

[ ] Approved [ ] Approved for fewer days	[Dates] [ ] Not approved – reason
Attendance to be marked as: WFH

Reporting Manager
[Reporting Manager]
Date: [Date]

HR (information)
[HR Name]

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What this template includes

WFH dates and whether it is full or partial day
Reason in brief
Deliverables and daily availability hours
Connectivity and equipment confirmation
Data security and confidentiality commitments
Approval with attendance marking instruction

When to use it

Short-term need such as a minor illness, home repairs or a family responsibility
Travel or weather disruption that makes commuting impractical
A temporary period such as late pregnancy or post-surgery recovery, with medical advice
Hybrid policies where ad-hoc WFH days need approval

How to customise this template

1Align eligibility with your WFH or hybrid policy
2Add VPN, MFA or device rules from your IT policy
3Set the core hours employees must be online
4Remove the deliverables table for roles measured by tickets or hours

HR tips

WFH is not leave; attendance should be marked as WFH, not leave
Agree deliverables in advance to avoid later disputes on productivity
Do not use public Wi-Fi for company systems without VPN
Managers should apply WFH rules consistently across the team

For HR & hiring managers

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Frequently asked questions

How do I write a work from home request to my manager?+

State the dates, the reason, what you will deliver, your availability hours and confirm you have the equipment and connectivity. Keep it to the point.

Is work from home counted as leave?+

No. Approved WFH days are working days and should be marked as such in attendance. Only days you do not work should be recorded as leave.

Can an employer refuse a work from home request?+

Yes, if the role requires presence or the policy does not allow it. The decision should be based on business needs and applied consistently.

All 50 leave management →

[Company Logo][Company Name]
LEAVE REQUEST FORM
Company:
[Company Name]
Request Date:
[Date]
Employee
Name [Employee Name]
Employee ID [Employee ID]
Team / Department [Department]
Shift (if applicable)
Manager [Reporting Manager]
Leave Requested
Leave Code From (DD/MM/YYYY) To (DD/MM/YYYY) Total Days
[CL/SL/EL/CO/LWP] [DD/MM/YYYY] [DD/MM/YYYY] [Number]
[Leave Code] [DD/MM/YYYY] [DD/MM/YYYY] [Number]
Purpose (brief)
Reachable on (phone / email)
Form · Word
Leave Request Form
Download .docx

Name	[Employee Name]
Employee ID	[Employee ID]
Team / Department	[Department]
Shift (if applicable)
Manager	[Reporting Manager]

Leave Code	From (DD/MM/YYYY)	To (DD/MM/YYYY)	Total Days
[CL/SL/EL/CO/LWP]	[DD/MM/YYYY]	[DD/MM/YYYY]	[Number]
[Leave Code]	[DD/MM/YYYY]	[DD/MM/YYYY]	[Number]

Purpose (brief)
Reachable on (phone / email)

[Company Logo][Company Name]

REQUEST FOR CANCELLATION OF SANCTIONED LEAVE

Date:: [Date]

To,
[Reporting Manager]
[Designation]
[Department], [Company Name]

Subject: Request to Cancel Sanctioned Leave – Ref. [Reference Number]

Dear [Reporting Manager],

My application for [Leave Type] from [DD/MM/YYYY] to [DD/MM/YYYY] ([Number] days) was sanctioned on [Date] vide reference [Reference Number]. Due to [brief reason, e.g. change in family plans / completion of personal work earlier than expected], I would like to withdraw this leave as below:

[ ] Full cancellation – I will be on duty for the entire period
[ ] Partial cancellation – I will report for duty from [DD/MM/YYYY]; leave from [DD/MM/YYYY] to [DD/MM/YYYY] will continue
Number of days to be cancelled	[Number]

Letter · Word

Leave Cancellation Request

Download .docx

[Company Logo][Company Name]
REQUEST FOR EXTENDED LEAVE
Date:
[Date]
To,
[Head of Department]
[Department]
[Company Name]

Through: [Reporting Manager]
Copy: HR Department
Subject: Request for Extended Leave of [Number] Weeks from [DD/MM/YYYY]
Dear Sir / Madam,
I request extended leave from [DD/MM/YYYY] to [DD/MM/YYYY], a period of [Number] weeks, as I need to [care for my Relation during treatment / travel abroad to support my family / manage my family's relocation]. I have already discussed this with [Reporting Manager].
Proposed Leave Mix
Letter · Word
Extended Leave Request
Download .docx
[Company Logo][Company Name]
REQUEST FOR EXTENSION OF LEAVE
Date:
[Date]
To,
[Reporting Manager]
[Department]
[Company Name]

Copy: HR Department
Subject: Request to Extend Leave Sanctioned from [DD/MM/YYYY] to [DD/MM/YYYY]
Dear [Reporting Manager],
I am currently on [Leave Type] from [DD/MM/YYYY] to [DD/MM/YYYY], sanctioned vide [Reference Number], and was due to rejoin on [DD/MM/YYYY].
Due to [my doctor advising further rest / continued hospitalisation of my Relation / cancellation of my return train/flight / pending family formalities], I am unable to rejoin as planned. I request an extension of [Number] days from [DD/MM/YYYY] to [DD/MM/YYYY]. I will now rejoin on [DD/MM/YYYY].
Letter · Word
Leave Extension Request
Download .docx
[Company Logo][Company Name]
RETURN FROM LEAVE / RESUMPTION OF DUTY FORM
Company:
[Company Name]
Date:
[Date]
1. Employee Details
Employee Name [Employee Name]
Employee ID [Employee ID]
Designation / Department [Designation] / [Department]
Shift (if applicable)
2. Leave Details
Particulars Sanctioned Actual
Leave type [Leave Type] [Leave Type]
From [DD/MM/YYYY] [DD/MM/YYYY]
To [DD/MM/YYYY] [DD/MM/YYYY]
Days [Number] [Number]
Reported for duty on [DD/MM/YYYY] at [HH:MM]
Reason for any difference between sanctioned and actual leave
Form · Word
Return From Leave Form
Download .docx

Particulars	Sanctioned	Actual
Leave type	[Leave Type]	[Leave Type]
From	[DD/MM/YYYY]	[DD/MM/YYYY]
To	[DD/MM/YYYY]	[DD/MM/YYYY]
Days	[Number]	[Number]

Reported for duty on	[DD/MM/YYYY] at [HH:MM]
Reason for any difference between sanctioned and actual leave

[Company Logo][Company Name]

REQUEST FOR LEAVE ENCASHMENT

Date:: [Date]

To,
The HR / Payroll Department
[Company Name]
[Company Address]

Subject: Request for Encashment of [Number] Days of Earned Leave

Dear Sir / Madam,

As per my leave records, my earned / privilege leave balance as on [DD/MM/YYYY] is [Number] days. I request encashment of [Number] days under the company leave encashment policy.

Occasion	[ ] Annual encashment during service [ ] At resignation – last working day [Last Working Day] [ ] At retirement / end of contract
Balance to be retained after encashment (if required by policy)	[Number] days

Letter · Word

Leave Encashment Request

Download .docx

[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
Date Day Occasion (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]
Form · Word
Restricted Holiday Request
Download .docx
[Company Logo][Company Name]
FESTIVAL HOLIDAY REQUEST
Date:
[Date]
To,
[Reporting Manager]
[Department]
[Company Name], [Work Location]
Subject: Request for Leave for [Festival Name] on [DD/MM/YYYY]
Dear [Reporting Manager],
[Festival Name] falls on [DD/MM/YYYY] this year. It is an important festival for my family, and I would like to celebrate it [at my native place, Town / State / with my family].
I request the following:
Letter · Word
Festival Holiday Request
Download .docx

Date	Day	Occasion (from RH list)	Full / Half Day
[DD/MM/YYYY]	[Day]	[Occasion]	[Full Day]
[DD/MM/YYYY]	[Day]	[Occasion]	[Full Day]

Work-from-Home Request

Preview of the form

1. Employee Details

2. WFH Details

3. Planned Deliverables

4. Readiness and Security

5. Approval

What this template includes

When to use it

How to customise this template

HR tips

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Frequently asked questions

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