FT PT Crew Payroll Request Form

Full Time & Part Time Crew Leave Request Payment Form
This form is to request to use entitlements you have accrued from your Restaurant Manager, not to ask for time off. Leave Requests and NAs are managed through MyJob.

Requests must be in prior to 7am on the Monday that Payroll is processed for the week that has just finished. Week Endind date refers to the date of the Sunday in the week you wished to be paid for.

Please note that entitlements can not be paid to you without correct completion of this form. This form must also be utlised when you wish to take time off without pay.

If you have any questions or concerns, please contact your Restaurant Manager for clarification.
Week Ending Date?*

DayMonthYear
The date of the Sunday for the week you wish to be paid. Payroll is completed for the completed week on Monday morning after the Week Ending Date.
Restaurant Name*
Please confirm you have selected the correct store to ensure your request goes to the correct Restaurant Manager
Name*

First NameLast Name
Email*
Phone Number*
Please enter a valid phone number.
Employment Type:*
Request Type*

Annual LeaveSick LeaveLong Service LeaveCash Out LeaveLeave without Pay
Leave From:

DayMonthYear
Dates must be accurate for all types of leave, including Leave without pay
Leave To:

DayMonthYear
Leave Hours Requested:*
A full time week is 38Hrs
Please Note:

Long Service Leave is paid leave granted to an employee who has served a specified period of continuous employment.

Sick Leave is paid leave for hours of work missed due to illness or being unfit for work, a Medical Certifcate may be required to support your request.
To be Paid*
Lump Sum payment upfront requires additional information from you about the length of leave you are taking, if more than 1 pay period.
Medical Certificate:*

Cancelof
Leave Request during agreed shift:*
If your period of leave is during your agreed shift, please include the details below:
Reason for Leave Without Pay Request*
Do you have any Additional Information?
If requesting Sick leave, or your Leave of Absence is during a fixed shifts, please include these details
Signature*

Clear
Please verify that you are human*
Should be Empty:

Full Time & Part Time Crew Leave Request Payment Form