BL - Leave Request Form

LEAVE REQUEST FORM

SUBMIT A LEAVE REQUEST
Use this form to submit a leave request, specifying whether its for yourself, or on behalf of someone else. Upon submission, a notification will be sent to Lynne and to your manager.

Please wait to hear back from them as submitting this form alone does not guarantee or constitute any form of leave approval.

SUBMITTER DETAILS
This Leave Request is on behalf of:*

MyselfSomeone Else
Your Name

First NameLast Name
Employee Name

First NameLast Name
Email
example@example.com

LEAVE DETAILS
Leave Start*

DayMonthYear
Date
Leave End*

DayMonthYear
Date
Number of days leave
Please Note: This should be the number of working days, not calendar days
Leave Type*

Annual LeaveSick LeaveBereavement LeaveParental LeaveLeave Without PaySpecial LeaveOther
Please indicate your relationship to the person the bereavement relates to.
Upload any supporting documents or information that applies (i.e. medical certificate)

Cancelof
Comments

APPROVER DETAILS
Please Note: This is the person who will approve this request.
Manager Name*

First NameLast Name
Manager Email*
example@example.com
BL Name
BL Email
Employee name for approval

First NameLast Name
Should be Empty: