STAFF LEAVE REQUEST FORM
All permanent and replacement employees, who are employed on a full-time or part-time basis, are entitled to 10 days (or pro-rata for part-time) personal leave per year. This leave can be taken for personal sick leave or leave to care for a member of your immediate family. A medical certificate from a doctor is required for any leave for three days or more and must be included with this leave request. Staff are also entitled to 1-day leave per year (EA day) for events such as for graduation, wedding or moving days. All paid leave provided under this provision will be deducted from the employee’s personal leave entitlements.
Staff Name
*
First Name
Last Name
Email
*
Form submission confirmation will be emailed here.
Dates of Leave
*
For Non-Teaching Staff - Hours of Leave
*
Lessons Requiring Cover
Type of Leave
*
Please Select
Sick/Carer's Leave
EA Day
Day in Lieu (please state reason below)
Make Up Time (support staff only)
Leave Without Pay
Annual Leave
Long Service Leave
Reporting Day
Swap Day
Reason for Leave
*
Please provide reason for leave request.
File Upload
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Please upload doctors certificate (if applicable)
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of
Signature
*
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