Fill and Sign the Vacation Carryover Form

VACATION CARRYOVER REQUEST This vacation carry over request form must be completed if an employee is requesting to carry over more than 5 vacation days. { Insert Name of Company } vacation policy provides for carry over of vacation time of one week when use of such time is delayed because of company need. There is an automatic carry over of five (5) days or less of vacation time for one year. Carryover of vacation time beyond five days requires approval by the supervisor and Human Resources. Vacation carryover is limited to the unused vacation time accrued during the most current year. The supervisor and human resources must approve this form. Completed carryover request forms must be submitted to Human Resources no later than January 5. Employee: _____________________ Date: ________________ SS#: _________________________ Department: __________ Request for additional carry over of vacation time _______ hours (This number does not include the automatic carryover of 5 days) Reason for request: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Approval: __________________________________________ __________ Supervisor: Date: __________________________________________ __________ Human Resources Representative Date: