Bereavement Leave Application -Temp

Bereavement Leave Application Form

1st Call Recruitment
Name*

First NameLast Name
Date of birth*

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

AucklandHamiltonTaurangaWellingtonChristchurch
Date of funeral*

DayMonthYear
Date
What days are you requesting leave for*
Total number of working days you will be away from work?*
What relationship is this person to you that has passed away?*
What is their name and location of the funeral service?*
We are very sorry for your loss, condolences to their family
Please add any supporting documents
Please add any supporting documents

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*

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Bereavement Leave Application Form