Military Leave Form Template
Support employees called to military service with a clear, documented leave process.
Employees called to military duty have legal protections under USERRA and similar laws. This form gives your HR team a consistent way to process military leave requests — capturing service dates, orders documentation, and benefits continuation preferences in one place.
The template covers the employee's name and department, the type of military service, the expected start and return dates, documentation upload for military orders, pay and benefits preferences during leave, and the point of contact while the employee is away. HR can add an acknowledgment section confirming the employee's rights under applicable law.
A clear process protects both the employee and the employer. Documented records make it easier to manage coverage, maintain benefits accurately, and restore the employee to their position when they return.
Under USERRA in the U.S., employers must grant leave for military service, maintain health insurance at the employee's cost, and restore the employee to their previous position upon return. Consult your legal counsel for jurisdiction-specific requirements.
Employees are generally required to give advance notice unless military necessity prevents it. The form should include a field to upload military orders or official documentation when available.
USERRA doesn't require paid leave, but many employers supplement military pay to match the employee's regular salary. Include a field asking about pay preferences and document whatever arrangement your organization offers.
Employees on military leave can typically continue group health coverage for up to 24 months at their own cost. Include a benefits continuation question so HR can process enrollment correctly.
Military orders are the standard documentation. Include a required file upload field and note in the form instructions that copies of official orders are required whenever available.
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