Use this form for employees to request annual leave.

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Annual Leave Request Form

Employee Details

Field	Information
Name
Employee Number
Department
Manager
Date of Request

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Leave Requested

Detail	Information
Start Date
End Date
Return to Work Date
Total Working Days Requested

Type of Leave

• Annual Leave
• Public Holiday (in lieu)
• Carry-over from last year
• Time off in lieu (TOIL)
• Other: _________________

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Current Leave Balance

Element	Days
Annual entitlement
Carry-over
Total available
Already taken
Already approved (future)
Balance remaining
This request
Balance after this request

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Contact During Leave

Detail	Information
Emergency contact (optional)
Contactable for work queries?	[ ] Yes [ ] No
Out of office handover to

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Employee Declaration

I confirm that:

• This request is made in accordance with the Company's annual leave policy
• I have arranged cover/handover for my duties during this absence
• I understand this request is subject to approval

Employee Signature: _________________ Date: _________

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Manager Approval

Decision

• Approved
• Partially Approved (see notes)
• Not Approved (see notes)

Notes/Reason for Refusal

[Space for manager notes]

If Partially Approved

Approved Dates	Days
From:
To:
Working days:

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Manager Confirmation

Field	Information
Manager Name
Manager Signature
Date

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HR/Payroll Processing

Action	Done	Date	By
Leave recorded in system	[ ]
Balance updated	[ ]
Calendar updated	[ ]
Employee notified	[ ]

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Additional Information

Notice Requirements

Per company policy:

• Less than 1 week: [X] days' notice required
• 1-2 weeks: [X] days' notice required
• Over 2 weeks: [X] weeks' notice required

Peak Periods

Leave during the following periods may be restricted:

• [List any blackout periods]
• [e.g., Year-end, Christmas, peak trading periods]

Approval Guidelines for Managers

Consider	Questions
Business needs	Can we cover this absence?
Team coverage	Who else is off?
Fairness	Have they had fair allocation?
Notice	Have they given adequate notice?
Pattern	Is there any concerning pattern?

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Requesting Long-Term Leave

For leave of [X] weeks or more:

• Additional approval from [Senior Manager/HR] required
• Handover plan submitted
• Cover arrangements confirmed

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Form Distribution

• Original: HR/Payroll
• Copy: Manager
• Copy: Employee
• System: [HR system] updated

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Policy Reference

This request is subject to the Company's Annual Leave Policy. Key points:

• Holiday year runs from [date] to [date]
• Minimum statutory entitlement: 28 days (including bank holidays) for full-time
• Carry-over: Up to [X] days with manager approval
• Requests should be submitted [X] days in advance
• Approval is subject to business needs

For full policy, refer to [Employee Handbook/Intranet location].