Leave Request Form

Leave Request Form
Name*

First NameLast Name
Date*

DayMonthYear
Date
Email*
example@example.com
I wish to take leave, my FIRST day on leave will be:
Date*

DayMonthYear
Date
My LAST day on leave will be:
Date*

DayMonthYear
Date
Total Days:*
Number of working days don't include weekends or Public holidays.
Type of leave required:*

Unpaid LeaveAnnual HolidaysAnnual Leave in AdvanceOther
(note: if less than 1 day, minimum time to be taken is 1/2 day)
Additional information:
Please note all holiday payments shall be paid on a normal week basis, alternative arrangements must be made prior to commencing your holiday.
AUTHORISATION: office use only

Your application for leave has been:
Approval
Signed:

Browse Files

Cancelof
Date

DayMonthYear
Date
Position:
Should be Empty: