SmartDraw includes thousands of professional-looking diagrams like this that you can easily edit and make your own.
Text in this example:
Company Name YOUR LOGO HERE Absence Information Absence Request You must submit requests for absences, other than sick leave, two days prior to the first day you will be absent. Manager Approval Employee Name: Employee Number: Department: Manager: Type of Absence Requested: Sick Vacation Bereavement Time Off Without Pay Military Jury Duty Maternity/Paternity Other Dates of Absence: From: To Reason for Absence: Approved Rejected Comments: Manager Signature