Information
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Conducted on
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Employee Name:
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Leave Commencement Date:
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Leave Completion Date:
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My Last Day At Work:
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My First Day Back At Work:
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Number Of Days
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Public Holidays Included:
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Type Of Leave
- Sick Leave
- Annual Leave
- Leave Without Pay
- Compassionate Leave
- Payment Of Accrued Annual Leave Only
- Paid Parental Leave (Centrelink)
- Other
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Notes:
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As part of my application for leave I acknowledge it is White's Plumbing Pty Ltd policy that as an employee of White's Plumbing Pty Ltd my Annual Leave is not permitted to accrue to more than 4 weeks. If I accrue more than 4 weeks leave a suitable time must be agreed between a Director of White's Plumbing Pty Ltd and me the employee.
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Signature Of Employee
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Signature Of Approver
