Leave Request Form
Name
First Name
Last Name
Employee Email
example@example.com
Phone Number
Type of Employment
Permanent
Part Time
Casual
Training
Location
Please Select
Launceston
Overend Way
Hobart
Devonport
Burnie
South Launceston
South Launceston - Kia
Derwent Park
Victoria
Department
Please Select
Admin
Sales
Service
Parts
Pre-Delivery
Human Resources
JMC Property
Stewart Group
Other
Manager Name/Email
Manager Email - Populated
example@example.com
Leave Type
Please Select
4 Day Work Week
Sick Leave
Annual Leave
Half Day Leave
Birthday Leave
Long Service Leave
Leave without pay
Compassionate leave
Other
First Day of Leave
*
/
Day
/
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Last Day of Leave
*
/
Day
/
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
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