Leave Form

Name*
Email*
Department*
Leave type*
Pay type*
Definition of sick/carer's leave:
You can take accumulated paid sick leave when you can't work because of a personal illness or injury. This does not include pre arranged medical or dental appointments or elective surgery. You can take accumulated paid carer's leave to care for or support a member of your immediate family or household who is sick or injured in an unexpected emergency.
Commencing
Date*
DD slash MM slash YYYY
Time (if not full day)
Return to work
Date*
DD slash MM slash YYYY
Time (if not start of day)
Documents (if required)
Drop files here or

Accepted file types: jpg, jpeg, gif, png, pdf, doc, docx, Max. file size: 20 MB.
Further Details*
Instructions:

Once submitted, a copy of this form will be sent to management, administration and yourself.

Leave of any type is not authorised until it has been approved by management.

Annual leave needs to be taken at a time mutually convenient to the company and yourself.

For any sick and carer's leave taken of more than two days duration, a doctors certificate is to be provided and attached with this form.