UOW

GENERAL STAFF - LEAVE APPLICATION
 
Employee Details
Unit
      
Employee Number
      
Title
Date of Birth
 
Last Name
First Name
 
Full time
Part Time
 
Nature of Leave
Recreation
Special
  
Carer's
Sick
  
Long Service Leave
Full Pay
Half Pay
    
Other
Type
  
Please note: Application for leave without pay must attach a memorandum outlining reasons for leave.
         
Number of Days
Total No of Working Days
First Day
 
   
Last Day
 
Reason
    
Payment in advance required
Yes No      
 
Please note
  1. Pay in advance applies to Recreation and Long Service Leave only.
  2. Pay in advance applies only to employees who can provide documents stating they will be travelling overseas (i.e. a copy of airline tickets).
  3. Applications for payment in advance must reach your Personnel Officer 3 weeks prior to commencement of leave.
  4. Pay in Advance is made in respect of whole pay periods which fall during the period of absence on leave.
         
Signature of Applicant ________________________
Date
  
   
   
Recommended ________________________
Date
  
 
Comment by Head of Unit/Section (if applicable)
PER-SS-FRM-015 General Staff Leave Application 2007 Jan