Holiday Request Form
Holiday Year Dates - 1st December - 30th November
First Name
Surname
Start Date (First Working Day)
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Return Date (First Working Day)
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Total Number of Days Requested:
Reason for leave - Do we need to know the reason ?
Yes
No
If Yes please state below
Signature
Date
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Important Notes:
All holiday requests must be submitted at least four weeks in advance. Paid annual leave is subject to approval based on availability and company policies. Unauthorised absence may result in disciplinary action.
Email
example@example.com
Submit
Should be Empty: