Employee leave request — recommended, since tracking leave is mandatory; covers standard wypoczynkowy leave and the special categories urlop na żądanie (4 days/year, no advance notice), opiekuńczy (5 days/year) and siła wyższa (2 days/year).
⚠️ This is a blank template, not legal advice: check the wording with a lawyer and adapt it to your jurisdiction and your case.
This template has no optional clauses: the text is the same for everyone.
Required fields not filled: 6. The PDF will have blank lines in their place to fill in by hand.
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LEAVE REQUEST (WNIOSEK URLOPOWY)
Employee: Submitted on:
1. TYPE AND DATES 1.1. Type of leave: 1.2. From to , day(s). 1.3. ⚠️ Urlop na żądanie: up to 4 days per calendar year, may be requested with no advance notice — the Employer must grant it (subject to very narrow refusal grounds). Urlop opiekuńczy: up to 5 days/year, unpaid. Urlop z powodu siły wyższej: up to 2 days (or 16 hours)/year, paid at 50%.
2. BALANCE 2.1. Remaining leave balance for the year: 2.2. ⚠️ Base annual entitlement is 20 or 26 days depending on seniority (staż pracy). From 2026, periods of umowa zlecenie and JDG also count toward staż pracy — leave-entitlement bases for affected employees may need to be recalculated.
3. COVERAGE DURING ABSENCE 3.1.
4. APPROVAL 4.1. Status:
Employee ______________ / / Approved by ______________
This is a boilerplate template, not legal advice. Polish employment, data-protection and consumer-protection law (the Kodeks pracy — Labour Code, arts. 25¹, 29, 29 §3; the RODO/GDPR — Regulation (EU) 2016/679; the ustawa o minimalnym wynagrodzeniu za pracę; the ustawa o świadczeniu usług drogą elektroniczną; and the ustawa o prawach konsumenta) is highly procedural, tied to fixed statutory deadlines (the "syndrom pierwszej dniówki" under art. 29 KP, the 7-day informacja o warunkach zatrudnienia, the 33-month/3-contract fixed-term cap, the 14-day right of withdrawal, the last-working-day świadectwo pracy) and changes frequently — including the 2026 minimum wage (4 806 zł/month, 31,40 zł/hour), the staged staż pracy reform (01.01.2026 for the public sector / 01.05.2026 for the private sector, with a 24-month window to document past periods) and the foreign-worker work-notification deadline shortened from 14 to 7 days as of 05.03.2026. Have this document reviewed and adapted by a Polish employment/ legal advisor (radca prawny / adwokat) and verified against current PIP, ZUS and UODO thresholds and guidance before use.
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1 of 9 fields are taken from the company, employee or counterparty record, the questionnaire can be dictated to the AI, and the finished document comes with a number, a PDF and an acknowledgement record.