Annual Leave
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Please return completed form to payroll, head office.
Employee Name:
Position:
State:
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TYPE
NUMBER OF DAYS
Annual Leave
Public Holidays
Rostered Day Off (R.D.O.)
Long Service Leave
Other (Please specify)
TOTAL
Leave to be taken from:
(First day of leave - dd/mm/yy)
To:
(Last day of leave - dd/mm/yy)
Date of return to work:
(dd/mm/yy)
AMENDED APPLICATION?
NOTE:
Any changes to number of days or dates for this application must be submitted on a new form with the word "
Amended
" clearly marked. Click above if you are submitting an amended application..
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Employee:
Date: (dd/mm/yy)
Authorised by:
Title:
Date: (dd/mm/yy)