Special Security Services Ltd
Compassionate Leave Form
If travelling overseas you are entitled to 5 days compassionate leave ( 3 paid & 2 days unpaid). If you don't travel you are entitled to (2 days paid leave)
Death certificate must be produced
Employee Name
*
First Name
Middle Name
Last Name
Date of submission
*
/
Day
/
Month
Year
Date
Cellphone #
*
Home phone #
*
Whatsapp #
*
Medical Benefits #
*
Social Security #
*
Department/Location
*
Date of funeral
*
/
Day
/
Month
Year
Date
Relationship to the deceased
*
Will the funeral be overseas
*
Yes
No
Period applying for (start date)
*
-
Day
-
Month
Year
Date
Period applying for (end date)
*
-
Day
-
Month
Year
Date
Relieving officer(s):
Employee Signature
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OFFICIAL USE ONLY
TO BE COMPLETED BY HUMAN RESOURCES MANAGER ONLY
Date received
/
Day
/
Month
Year
Date
Time received
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Scheduling agents Remarks
Approved by Operation Manager
Yes
No
Other
Operation Manager Remarks
Approved by Human Resource Manager
Yes
No
Other
Human Resource Remarks
With pay
Yes
No
Reviewed by Office Manager , General Manager or Managing Director
OM
GM
MD
Date & Remarks
Submit
Should be Empty: