GCS HR - Bereavement Leave Authorisation

• Document No.

• Employee

• Employee Number

• Conducted on

  Date

• Prepared by

• Site Name
  Address

Bereavement Leave Details

• When an employee needs to take bereavement leave (only available for immediate family members) this form must be completed and approved by Area/Support Services Management.
  HR must authorise the payment

• Number of days requested

• Leave Date (From)

  Date

• Leave Date (To)

  Date

• Relationship to employee

• If you require more leave than our policy allows you can request unpaid leave or late holiday payment

• Number of unpaid days requested

• Number of days requested to be deducted from holiday entitlement

• Line Manager

  Sign

• Payment Authorisation

  Sign

• Reason if authorisation not given