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Employee Leave Form.: Office Use Only Employees Number

This document is an employee leave form that contains fields for an employee to provide their name, office location, employee number, and details of the type of leave being taken including the inclusive dates and number of days. There are 10 different leave codes listed including annual leave, sick leave, long service leave, paid and unpaid maternity leave, paternity/partner leave, leave without pay, workcover, university business travel, and other additional leave. The form requires supervisor approval signatures and dates.

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Vonna Terrible
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47 views2 pages

Employee Leave Form.: Office Use Only Employees Number

This document is an employee leave form that contains fields for an employee to provide their name, office location, employee number, and details of the type of leave being taken including the inclusive dates and number of days. There are 10 different leave codes listed including annual leave, sick leave, long service leave, paid and unpaid maternity leave, paternity/partner leave, leave without pay, workcover, university business travel, and other additional leave. The form requires supervisor approval signatures and dates.

Uploaded by

Vonna Terrible
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Employee leave form.

First name Office Use Only


School/Section Location: Ext.
Employees number:
Last Name

*Annual Leave and Sick Leave must be recorded as


hours. (note: 8 hours constitutes one full day for all Leave Inclusive Period No. of
General/Professional Staff, 7.6 hours constitutes one Code (dd/mm/yy) days/hours
full day for Academic.) taken*
From To
Leav Leave Type
e
Code

1 Annual Leave*

2 Sick Leave* [Personal Injury/Illness]


(attach Doctor’s Certificate if over 3
consecutive days.)
3 Long Service Leave (TAFE Teacher’s LSL
application process continues to apply.)

4 Paid Maternity Leave(attach


Doctor’s Certificate and letter of
request.)

5 Unpaid Maternity Leave (attach


Doctor’s Certificate and letter of Date:
Staff member’s signature
request.)
6 Paternity/Partner Leave (attach Details (must be completed for Career’s and
Approved
Not approved
Doctor’s Certificate or Statutory Supervisor’s name:
Additional Leave, Bereavement/Compassionate Leave)
Declaration.)
7 Leave Without Pay Supervisor’s signature:
(attach letter of Date:
Request indicating reason required.)
8 Workcover (return this form directly
to the Return-to-Work Co-Ordinator,
Human Resources.)
9 University
Business/Conference/Travel For further information about leave options, please
Leave
refer to the leave provisions in your relevant enterprise
10 Other Type of Additional Leave
(please specify in “Details” section. agreement.
Court Attendance.
NOTE: some form of evidence may
be required.
Employee leave form.

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