Leave Request Form - duplicate

Leave Request Form

• Conducted on

  Date

• Employee Name:

  Select

• Annual leave forms must be submitted at least 2 WEEKS IN ADVANCE.
  Leave forms for all other absences must be submitted immediately upon returning to work.
  All annual leave must be used prior to requesting leave without pay.

Leave Request

• Employee Name:

  Select

• Department:

  Select

• Area Team Leader:

  Select

Type of Leave Requested

• Types of Leave

  Select Annual Compassionate Personal (Sick) Personal (Carer's) Other Form B Required

  • Annual
  • Compassionate
  • Personal (Sick)
  • Personal (Carer's)
  • Other
  • Form B Required

Day Leave

• Date of Leave From:

  Date

• Date of Leave To:

  Date

• Date of return to work:

  Date

• Number of days off:

Part Day Leave

• Date of part day leave

  Date

• Times if only part day: From

  Date

• Times if only part day: To

  Date

• Number of hours:

• Reason for leave:

• Employee Signature

  Sign

• Press DONE to email this form to the payroll department.<br><br>Press Complete Audit to Finish.

  Done

• You will receive an email to confirm this leave has been approved once this application has been processed