Leave Request Form

Leave Request Form
Annual Leave provides employees with the opportunity to have a break from work and should be taken at a mutually agreed time, or as directed. For more information, please refer to the Leave Policy on metime.

Part-time employees who are unable to work a fixed shift need to apply for leave using this form. Leave requests should be made at least three weeks before the requested time off.

For full-time or part-time employees, if you are absent from work due to illness or injury or due to providing care or support to a member of your immediate family who is ill or injured, a Leave Request Form should also be submitted communicating to your restaurant how your absence should be recorded; i.e. paid Personal/Carer's leave (sick leave), unpaid leave etc.

1. Read and complete all sections of this form

2. Return completed request form to your Restaurant Manager.
Name*

First NameLast Name
Contact Number*
Email*
example@example.com
Restaurant*

Pakenham Bypass InboundPakenham Bypass Outbound
Please select appropriate leave requesting to be taken*

Annual LeaveLong Service LeaveCompassionate Leave (restaurant may request evidence)Sick Leave (restaurant may request evidence)Carer's Leave (restaurant may request evidence)Unpaid LeaveOther
Hours of Leave
Weekending Date*

DayMonthYear
Date
Comments
Declaration:

1. I declare that the information in this application is true and complete;

2. I understand that this request is subject to Restaurant Manager/Consultant approval; and

3. I understand that I will be notified if my request is approved or declined.
Signature of Employee*

Clear
Date Signed*

DayMonthYear
Date
Should be Empty: