Long Service Day Request Form
Complete to get authorisation for holiday.
Requester Name:
*
First Name
Last Name
Requester Email:
*
example@example.com
If you are a HCC Contract Employee - Please tick this box.
.
If you are a Project Engineer - Please tick this box.
.
Approver Name:
Approver Name:
*
First Name
Last Name
Approver Email:
*
example@example.com
Details of the Long Service Holiday Request.
I wish to take holiday on the following dates:
From Date:
*
-
Day
-
Month
Year
To Date:
*
-
Day
-
Month
Year
Number of Days:
*
Additional Days?
Yes
From Date:
*
-
Day
-
Month
Year
To Date:
*
-
Day
-
Month
Year
Number of Days:
*
Additional Days?
Yes
From Date:
*
-
Day
-
Month
Year
To Date:
*
-
Day
-
Month
Year
Number of Days:
*
Total Number of Days:
*
Other Requirements
Any Other Requirements/Comments?
Please verify that you are human
*
Submit
Should be Empty: