Information

  • Conducted on

  • Employee Name:

  • Leave Commencement Date:

  • Leave Completion Date:

  • My Last Day At Work:

  • My First Day Back At Work:

  • Number Of Days

  • Public Holidays Included:

  • Type Of Leave

  • Notes:

  • 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.

  • Signature Of Employee

  • Signature Of Approver

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.