06FORMS & TEMPLATES

LOA request

Request time away without having to disclose private personal circumstances.

Blank template. Not a submission form.
Copy or download this template and share it through the appropriate clan channel. Nothing is submitted or stored on this website.
On this page 4 sections

When to use this template

Request time away without having to disclose private personal circumstances.

How to use it

Send the request privately to leadership. “Personal Reasons” is sufficient, and the reason field is optional. Casual members do not need to request leave for missing optional activities.

Copy or download the blank template below, replace the bracketed fields, and review it before sharing. Copying or downloading does not submit anything or notify staff.

Privacy and handling

Submit completed copies only through the clan’s appropriate private ticket or authorized staff channel. Do not publish completed applications, appeals, leave requests, or incident records. Share only the information necessary for the request; never include passwords or private account access.

Copy-ready template

Replace the bracketed fields before sharing. Use the Copy template button above to copy only the blank template.

SHINIGAMI OPS — LOA REQUEST

Discord username: [USERNAME]
Current clan rank: [RANK]
LOA start date: [DATE]
Expected return date: [DATE / UNKNOWN]

Type of LOA:
[SHORT-TERM: 1–7 DAYS / STANDARD: 8–30 DAYS /
EXTENDED: 31–60 DAYS / UNSURE OF RETURN DATE]

Reason (optional): [PERSONAL / SCHOOL / WORK / FAMILY / HEALTH / OTHER]
Do you hold a leadership or competitive position? [YES / NO]
Do you need temporary coverage for any responsibilities?
[YES / NO / NOT APPLICABLE]
Additional notes (optional): [NOTES]

You are not required to share private details.
Your well-being and real-life responsibilities come first.
SHINIGAMI OPS — NO REAPER LEFT BEHIND.

Need clarification? Find the right private support channel.