Leave application

    Status

    LEAVE*

    Start Day
    (Last Day of leave)

    End Date
    (Last Day of leave)

    Total Days
    (Excl. Public Hol)

    Annual Leave

    Sick/Carer´s Leave**

    Leave without pay

    Long service Leave

    Maternity/Paternity Leave

    Compassionate Leave

    Wellness Day Off

    Additional Day Off

    TIL Owed

    Other... (Description reqd)

    Total Days Requested

    *Leave will be paid in accordance with an employees Ordinary Scheduled hours

    **A Dr's certificate will be required for personal leave of 2 or more days, or if leave is taken after a public holiday. If no evidence provided, leave may be deducted from your annual leave allowance.