ANNUAL LEAVE & SICK LEAVE FORM

ANNUAL LEAVE & SICK LEAVE FORM
If you are applying for multiple weeks, please complete a new form for each week
Name*

First NameLast Name
Email Address you would like a copy of this sent to*

Confirmation Emailexample@example.com
Please select the sessions you are applying for leave (please note only 1 week can be applied per form, for multiple weeks please do another form)

Monday Before School CareMonday After School CareTuesday Before School CareTuesday After School CareWednesday Before School CareWednesday After School CareThursday Before School CareThursday After School CareFriday Before School CareFriday After School Care
Monday Before School Care - DATE OF LEAVE*

DayMonthYear
Date
Mon BSC Hours*
Monday BSC - Is this Paid Leave or Unpaid Leave? *

Paid Annual Leave (you must have annual leave available)Unpaid LeaveSick Leave (you must have sick leave available)Bereavement Leave
Monday After School Care - DATE OF LEAVE*

DayMonthYear
Date
Mon ASC Hours*
Monday ASC - Is this Paid Leave or Unpaid Leave? *

Paid Annual Leave (you must have annual leave available)Unpaid LeaveSick Leave (you must have sick leave available)Bereavement Leave
Tuesday Before School Care - DATE OF LEAVE*

DayMonthYear
Date
Tues BSC Hours*
Tuesday BSC - Is this Paid Leave or Unpaid Leave? *

Paid Annual Leave (you must have annual leave available)Unpaid LeaveSick Leave (you must have sick leave available)Bereavement Leave
Tuesday After School Care - DATE OF LEAVE *

DayMonthYear
Date
Tues ASC Hours*
Tuesday ASC - Is this Paid Leave or Unpaid Leave? *

Paid Annual Leave (you must have annual leave available)Unpaid LeaveSick Leave (you must have sick leave available)Bereavement Leave
Wednesday Before School Care - DATE OF LEAVE *

DayMonthYear
Date
Wed BSC Hours*
Wednesday BSC - Is this Paid Leave or Unpaid Leave? *

Paid Annual Leave (you must have annual leave available)Unpaid LeaveSick Leave (you must have sick leave available)Bereavement Leave
Wednesday After School Care - DATE OF LEAVE *

DayMonthYear
Date
Wed ASC Hours*
Wednesday ASC - Is this Paid Leave or Unpaid Leave? *

Paid Annual Leave (you must have annual leave available)Unpaid LeaveSick Leave (you must have sick leave available)Bereavement Leave
Thursday Before School Care - DATE OF LEAVE *

DayMonthYear
Date
Thurs BSC Hours*
Thursday BSC - Is this Paid Leave or Unpaid Leave?*

Paid Annual Leave (you must have annual leave available)Unpaid LeaveSick Leave (you must have sick leave available)Bereavement Leave
Thursday After School Care - DATE OF LEAVE *

DayMonthYear
Date
Thurs ASC Hours*
Thursday ASC - Is this Paid Leave or Unpaid Leave? *

Paid Annual Leave (you must have annual leave available)Unpaid LeaveSick Leave (you must have sick leave available)Bereavement Leave
Friday Before School Care - DATE OF LEAVE *

DayMonthYear
Date
Fri BSC Hours*
Friday BSC - Is this Paid Leave or Unpaid Leave? *

Paid Annual Leave (you must have annual leave available)Unpaid LeaveSick Leave (you must have sick leave available)Bereavement Leave
Friday After School Care - DATE OF LEAVE *

DayMonthYear
Date
Fri ASC Hours*
Friday ASC - Is this Paid Leave or Unpaid Leave?*

Paid Annual Leave (you must have annual leave available)Unpaid LeaveSick Leave (you must have sick leave available)Bereavement Leave
Manager's Name who approved your Leave
Name of Staff member relieving for you (if any)
Any notes or information please write here
Attachments

Browse Files

Cancelof
CLICK ON SUBMIT TO SEND YOUR LEAVE FORM
Should be Empty: