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Application For Leave: (PEL Employees Only) PEL Employees Only)

This document is an application for leave from an employee. It details the type of leave being requested, dates of leave, employee details, roster and public holiday information. Approval from both the employee and their line manager is required.

Uploaded by

Benjamin Neldner
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54 views1 page

Application For Leave: (PEL Employees Only) PEL Employees Only)

This document is an application for leave from an employee. It details the type of leave being requested, dates of leave, employee details, roster and public holiday information. Approval from both the employee and their line manager is required.

Uploaded by

Benjamin Neldner
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

APPLICATION FOR LEAVE

TYPE OF LEAVE
Annual Leave Aust Defence Force Leave Jury Duty SES Leave
Long Service Leave Study Leave Time in Lieu (PEL emloyees
only!
Alternative "oliday (PEL
emloyees only!
Sic# Leave (Form only required for Sick Leave in Big Ws Monarto DC, DSE and EL Su!!ort "ffices#$
%ote& ersonal Leave and Com!assionate Leave is recorded in 'ime and (ttendance and no form is required#
O$
A%T"O&'SAT'O$( T"'S FO&) 'S TO *E FO&+A&DED TO T"E PAY&OLL OFF',E FO& P&O,ESS'$-
E)PLOYEE DETA'LS
E)PLOYEE $A)E

POS'T'O$

E)PLOYEE 'D $O

LO,AT'O$ $A)E E)PLOY)E$T TYPE

Full)time art)time Casual
&E-'O$.D'V'S'O$ LO,AT'O$ $O/ O& ,OST
,E$T&E
PAY F&E0%E$,Y


Weekly Fortnig*tly Mont*ly
DATES OF LEAVE
TYPE OF LEAVE

F'&ST +O&1'$-
DATE OF LEAVE

LAST +O&1'$- DATE
OF LEAVE

TOTAL $O/ OF +O&1'$- DAYS O$
LEAVE (e2cluding u3lic
4olidays!

DATE &ET%&$'$-
TO +O&1

TYPE OF LEAVE

F'&ST +O&1'$-
DATE OF LEAVE

LAST +O&1'$- DATE
OF LEAVE

TOTAL $O/ OF +O&1'$- DAYS O$
LEAVE (e2cluding u3lic
4olidays!

DATE &ET%&$'$-
TO +O&1

&OSTE& DETA'LS
For full time emloyees(
does t4e emloyee 5or# a
67 day mont48
YES . $O +!lease circle$
)O$ T%E +ED T"%&S F&' SAT S%$ TOTAL
"O%&S O$
+EE1

"O%&S OFF
+EE1
+,*ere a!!lica-le$

LOAD'$-S 9 A$$%AL
LEAVE O$LY ('F
APPL',A*LE 9 &EFE& TO
E*A!
Please secify any loadings
alica3le to t4e a3ove
5ee#ly roster( O& 54ere
less t4an one 5ee# is
ta#en( t4e 4ours alica3le
to t4e art 5ee# ta#en/
"O%&S : P%*L', "OL'DAYS
Please secify any
Pu3lic "olidays t4at fall
during t4e eriod of
leave/
P%*L', "OL'DAY "O%&S :








A%T"O&'SAT'O$
E)PLOYEE;S $A)E

E)PLOYEE;S S'-$AT%&E DATE

L'$E )A$A-E&<S $A)E

L'$E )A$A-E&<S S'-$AT%&E DATE A%T"O&'SED

"& &EP&ESE$TAT'VE.)A$A-E&;S $A)E
(As &e=uired!

"& &EP&ESE$TAT'VE.)A$A-E&;S S'-$AT%&E DATE A%T"O&'SED

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