Manager Payroll Leave Payment Form

Payroll Leave Payment Form

Management & Admin Staff
Please Note:

This form is to approve the payment of entitlements to you, by Demi Pty Ltd.

This form is not for requesting Holidays, NA Requests or a Period of Long service Leave, but rather to approve the payment of these entitlements to you during a period of leave, when you are sick or as a lump sum payment (Subject to approval).

Payroll is completed Weekly on a Monday, for requests that cover more than one Mon-Sun Period (Pay Week), additonal information is required to ensure these are processed correctly. Alternativley, more than one form can be completed to ensure correct ammounts are paid on the correct days.

For Leave no Pay, the details of dates you wish to forgo leave payments for and any agreed shifts in this period must be outlined. A reason for not working this agreed shift must be provided.

This form must be completed prior to 7am on the Monday after the Week Ending Date of the payroll period.
Name*

First NameLast Name
Week Ending Date of Leave Payment*

DayMonthYear
Date
Restaurant Name or Office*
Your Email*
Employment Type:
Request Type*

Annual LeaveSick LeaveLeave Without PayLong Service LeaveCash Out Annual Leave
'Cash Out' refers to the agreement between Demi Pty Ltd and you to forgo taking a period of leave in exchange for a lump sum payment. Your annual leave will be reduced by the amount that has been cashed out. You would also use 'Cash Out' when taking Annual Leave in excess of the maximum worked hours. This action must adhere to the guidelines established by the Fair Work Australia & the Fast Food Award).

Cash Out is a request, and as such will be at the discretion of the Business Manager and/or Supervisor.
Sick Leave or Personal Leave is availbe when you are 'sick' or 'unfit for work'. Leave is availbe for the hours of work that you missed.

A medical certificate may be required to process your Sick/Personal Leave
Start Date of Leave:

DayMonthYear
Annual Leave, Sick Leave and Long Service Leave must be allocated to the days of your leave correctly.
Finish Date of Leave:

DayMonthYear
Finish Date of Leave - If you leave request is more than 7 days or is split across 2 pay weeks, please include details in additional information on how you would like your payments made. Eg 38Hrs one Week, 20 Hrs the following - Be specific.
Amount of Hours to be paid*
A full time week is 38Hrs - Total amount of Hours Requested for the Dates provided above.
How Many Hours are you requesting to be cashed out*
A Full Time week is 38Hrs
Reason for Leave Without Pay Request:*
To be Paid*
Weekly is Paid on the Monday after the week ending date nominated. Lump Sum is paid up front, however details of the whole leave period are required to be documented.
Please attach your Medical Certificate to finalise your request

Cancelof
Are the above dates part of your agreed shifts?*
Fixed shifts are your agreed day/s of work, leave requests are used when you wish to take paid/unpaid time off during your agreed period of work or are unwell for work.
Do you have any Additional Information?
Please outline any additional information not covered by the questions in this form that are important to your request.
Signature*

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