Leave Application Form

• Document No.

• Conducted on

  Date

Employee Details

• Name

  Select Daniel Armour Luis Gonzalez Rob Hurry Katie Nicholls Jackson Parsons Jordan Ruse Kyle Stokes Dylan Webb

  • Daniel Armour
  • Luis Gonzalez
  • Rob Hurry
  • Katie Nicholls
  • Jackson Parsons
  • Jordan Ruse
  • Kyle Stokes
  • Dylan Webb

• Position Title

  Select Senior Team Leader Team Leader Tradesman Maintenance 2 Maintenance 1 Apprentice

  • Senior Team Leader
  • Team Leader
  • Tradesman
  • Maintenance 2
  • Maintenance 1
  • Apprentice

• Employee Number

  Select A1188907 A861818 A860218 A860222 A861019 A861577 A860209 A861527

  • A1188907
  • A861818
  • A860218
  • A860222
  • A861019
  • A861577
  • A860209
  • A861527

• Division

  Grounds

  Paint

• Location

  Illawarra

  Canberra

Type Of Leave

• Personal Leave

• Medical Certificate

  Yes

  No

• Annual Leave

• Annual Leave Amendment / Cancellation

• Long Service Leave

• Leave Without Pay

• Parental Leave

• Attach Relevant Documentation

• Bereavement Leave

• Attach Relevant Documentation

• Other Leave

• Attach Relevant Documentation

• Detail

Period of Leave

• First Working Day of Leave

  Date

• Last Working Day of Leave

  Date

• Date of Return to Work

  Date

• Number of Working Days

• Number of RDO's

• Number of Public Holidays

• Total Leave Days

• Comments

• Employee Approval

  Sign