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    Leave Application Form

    Uploaded by

    Tahseen Raza
    This leave application form requests information to process a leave request, including the employee's name, position, dates of leave, and leave codes. It asks the employee to provide their work schedule and hours if part-time. The form requires supervisor approval and offers the option to cash out long service leave. Human resources staff will enter and check the leave details.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Leave Application Form

    Uploaded by

    Tahseen Raza
    24 views2 pages
    This leave application form requests information to process a leave request, including the employee's name, position, dates of leave, and leave codes. It asks the employee to provide their work schedule and hours if part-time. The form requires supervisor approval and offers the option to cash out long service leave. Human resources staff will enter and check the leave details.

    Original Description:

    ASDASDAS

    Original Title

    Leave Application

    Copyright

    © © All Rights Reserved

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    This leave application form requests information to process a leave request, including the employee's name, position, dates of leave, and leave codes. It asks the employee to provide their work schedule and hours if part-time. The form requires supervisor approval and offers the option to cash out long service leave. Human resources staff will enter and check the leave details.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    24 views2 pages

    Leave Application Form

    Uploaded by

    Tahseen Raza
    This leave application form requests information to process a leave request, including the employee's name, position, dates of leave, and leave codes. It asks the employee to provide their work schedule and hours if part-time. The form requires supervisor approval and offers the option to cash out long service leave. Human resources staff will enter and check the leave details.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    LEAVE APPLICATION FORM

    NB: If you have more than one placement, please complete a separate form for each appointment.
    Full Name:

    Employee Number:
    Position Title:
    Organisational Unit:

    DETAILS OF LEAVE
    Please enter days of leave. Use multiple columns for each leave occurrence/type. Enter less than whole days separately.

    Full Days
    Leave Code [See Codes
    List]:
    Date of First Day of Leave:
    Date of Last Day of Leave:

    Full Days

    Part Days

    Part Days

    Hours

    Total Amount of Leave to be Debited (for part days only):

    Mins

    Hours

    Mins

    WORK PATTERN
    Please indicate your Work Scheme

    Standard
    Hours/Flexitime/VBT
    9 Day Fortnight

    Please complete the Work Pattern Table below

    Part-Time:

    Please complete the Work Pattern Table below

    For staff who indicated either the "9 Day Fortnight" box or the "Part-Time" box above, please indicate your hours in the table
    below:

    Monday

    Tuesday

    Wednesda
    y

    Thursday

    Friday

    Saturday

    Sunday

    Week 1 [Off Pay


    Week]

    Week 2 [Pay Week]

    SALARY PREPAYMENT
    To receive salary and loading in advance of the date leave will be taken, this form must be received by Human Resource staff at
    least four weeks prior to the first day of leave. If an advance is not required, the leave and any applicable leave loading will be
    paid in the period in which it falls.
    (If this question is not answered on this form, prepayment will not be
    Is Prepayment required?
    Yes
    No
    processed)

    LONG SERVICE LEAVE CASH OUT


    A period of leave, from one week up to an amount equivalent to the period of leave approved to be taken can be cashed out as a
    lump sum at the commencement of Long Service Leave. (If this question is not answered on this form, an equivalent period of
    long service leave will not be cashed out)

    Cash Out
    LSL?

    Yes

    No

    If yes, how many days are to be cashed out (minimum 1


    working week)?

    APPROVAL AUTHORITY
    Name
    Applicant:
    Supervisor/Manager of
    Section:
    Authorised Officer:
    (as applicable to the specific leave
    type)

    Signature

    Date

    HUMAN RESOURCES STAFF TO COMPLETE


    Signature

    Date

    Leave Details Entered by:


    November 2014

    Leave Details Checked by:

    November 2014

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