Sick Leave Application

Sick Leave Application Form

1st Call Recruitment
Name*

First NameLast Name
Date of birth*

DayMonthYear
Date
Cell phone number*
Email*
example@example.com
What 1st Call Branch do you currently work for?*

AucklandHamiltonTaurangaWellingtonChristchurch
Days you were away from work*
Take Photo of medical certificate if you have been absent from work for 3 or more consecutive days
Or upload a copy of your medical here

Cancelof
Upon submitting this request, please be aware that our Payroll team will process it. Your entitlements will be taken into consideration and the request will either be confirmed or declined.

You will be notified of the outcome of this request via email by the next appropriate pay run.
Signature*
Should be Empty:

Sick Leave Application Form