Voting Leave Request

# Voting Leave Request This form documents an employee's request for time off to vote in a scheduled election. Advance notice is encouraged and may be required by state law or company policy. --- ## Part A — Employee Information **Full Legal Name:** ___________ **Employee ID / Personnel Number:** ___________ **Department:** ___________ **Job Title:** ___________ **Manager / Supervisor Name:** ___________ **Work Email:** ___________ **Work State (for applicable voting leave law):** ___________ --- ## Part B — Election Information **Type of Election:** ___________ **Election Date:** ___________ **County / Jurisdiction Where You Are Registered to Vote:** ___________ **Polling Place Address (if voting in person):** ___________ **Polling Place Hours:** ___________ **Method of Voting:**