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Leave Application Form

The employee is requesting leave from their position in a certain department. They are applying for either sick leave, carers leave, annual leave, unpaid leave, or other special leave like long service or parental leave. They provide the dates for the requested leave and the number of days, accounting for public holidays. They also specify how they want their salary and holiday loading paid during the leave. Their supervisor must authorize the application.

Uploaded by

Ellango Arasar
Copyright
© Attribution Non-Commercial (BY-NC)
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Download as DOC, PDF, TXT or read online on Scribd
75 views

Leave Application Form

The employee is requesting leave from their position in a certain department. They are applying for either sick leave, carers leave, annual leave, unpaid leave, or other special leave like long service or parental leave. They provide the dates for the requested leave and the number of days, accounting for public holidays. They also specify how they want their salary and holiday loading paid during the leave. Their supervisor must authorize the application.

Uploaded by

Ellango Arasar
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Leave Application Form

Employee Name: Department: Date: Position:

Leave requested:

Sick Leave Carers Leave Annual Leave Unpaid Leave (please specify) Time in Lieu (please specify accrual) Other Leave please specify: (Long Service, Parental, Study, aaaaaaaaaaaaaaBereavement, Jury Duty, Special)

Reason for unpaid or special Leave:

Dates for Leave: Commence Leave on: Last Day of Leave: Number of Days off: Less Public Holidays: Total Days Leave Required: Payment of Leave: Salary, holiday loading (if applicable) to be paid in advance to include the last working day of leave Salary, holiday loading (if applicable) to be paid as normal on a weekly basis Attached: Apprentice / Trainee to sign I declare this to be a true and accurate record of my absence. Employee: Supervisor to authorise Date: Doctors certificate Other support documentation, please specify:

Approved by:

Date:

Accounts
Present Entitlement: Total Remaining: Less this Application: Next Entitlement Due:

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