Leave Request Form
Leave is NOT to be taken until approval in writing has been received from head office.
Has your manager/supervisor been notified about your leave request? If no, please notify your manager/supervisor before submitting form. (If you are a manager, please just tick no, as Callum and Themis will review this request)
*
Yes
No
Name
*
First Name
Last Name
Email
example@example.com
Workplace
*
Please Select
Sprout
Roma
Olive
Type of leave
*
Please Select
Annual leave
Professional development
Maternity leave
Paternity leave
Unpaid Annual Leave
Comments
First Day of Leave
*
.
Day
.
Month
Year
(Inclusive)
Last Day of Leave
*
.
Day
.
Month
Year
(Inclusive)
Total amount of leave days (DO not include you RDO's, just the days you are claiming as leave)
*
(Excluding rostered days off and public holidays)
Signed
*
Date
*
.
Day
.
Month
Year
Submit
Should be Empty: