TPE Leave Form

• Conducted on

  Date

• Prepared by

  Select Leonie Bohn Holly Horn Ben Maxwell Cooper Léa Ryan Thornton Bradley Antonello

  • Leonie Bohn
  • Holly Horn
  • Ben Maxwell
  • Cooper Léa
  • Ryan Thornton
  • Bradley Antonello

• EMPLOYEE NAME

  Select Leonie Bohn Holly Horn Ben Maxwell Cooper Léa Ryan Thornton Bradley Antonello

  • Leonie Bohn
  • Holly Horn
  • Ben Maxwell
  • Cooper Léa
  • Ryan Thornton
  • Bradley Antonello

• Type of Leave

  Select Annual Leave - Paid Annual Leave - Without Pay Personal Leave - Sick Personal Leave - Carers Long Service Leave Government Maternity Leave Other Leave

  • Annual Leave - Paid
  • Annual Leave - Without Pay
  • Personal Leave - Sick
  • Personal Leave - Carers
  • Long Service Leave
  • Government Maternity Leave
  • Other Leave

• If Other Leave was chosen please advise details below.

• If "Personal Leave" sick or carers was chosen, have you provided a medical certificate?

  Yes

  No

• Leave Start Date

  Date

• Leave Finish Date

  Date

• Are there any public holidays during this period?

  Yes

  No

• If Yes, number of days and public holiday names.

• Employee Signature:

  Sign

• Supervisor Signature:

  Sign

OFFICE USE ONLY

• APPROVED

• EMPLOYEE NOTIFIED

• ENTERED IN TO XERO

• ENTERED IN TO DIARY