FT PT Crew Leave Request Form

Full Time & Part Time Crew Leave Request Form
Restaurant Name*
Name*

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

Requesting Annual LeaveSick LeaveRequesting Long Service Leave (Eligible 10+ yrs Service Only)Cash Out LeaveLeave without Pay
Please Note:

Leave requests for longer than 2 weeks or that fall during School Holiday Periods must have strict written permission from your Business Manager. These impact the business and may not be approved.
Annual Leave From

DayMonthYear
Annual Leave To

DayMonthYear
How Many Leave HOURS are you requiring paid out?*
What Week Ending Date?*

DayMonthYear
Please Note:

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

Leave requests for longer than 2 weeks or that fall during School Holiday Periods must have strict written permission from your Business Manager. These impact the business and may not be approved.
Amount of Long Service Leave Days to be taken*
Long Service Leave From*

DayMonthYear
Long Service Leave To*

DayMonthYear
My Last Working Day will be:*

DayMonthYear
Return to Work Date*

DayMonthYear
To be Paid*
'Cash Out’ means you agree with Demi Pty Ltd to forgo taking a period of leave in return for a lump sum payment. Your annual leave will be reduced by the amount which has been cashed out. Must be in line with FFA guidelines.
How Many Days Are you requesting to be cashed out*
What Week-Ending Date?*

DayMonthYear
Please Note:

Sick Leave needs to be submitted by 7am Monday morning
Dates were you sick?*
How many sick leave hours are you requesting*
You must attach your Doctor's Certificate to finalise your request*

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Cancelof
What Week-Ending Date?*

DayMonthYear
Leave Without Pay From*

DayMonthYear
Leave Without Pay To*

DayMonthYear
Are the above dates part of your agreed shifts?*
Reason for Leave Without Pay Request*
Do you have any Additional Information?
Signature*

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

Full Time & Part Time Crew Leave Request Form