Annual Leave application form

Annual Leave Application Form

This form is for employees to use to apply to take annual leave or long service leave.
For more information about leave entitlements and obligations, visit www.fairwork.gov.au/leave.

IT WOULD BE APPRECIATED IF LEAVE IS NOT TAKEN CONCURRENTLY WITH ANOTHER STAFF MEMBER - THANK YOU.

Employee's Details

* Indicates required field

First Name *

Position: *

Surname: *

Contact phone number: *

Leave type

Choose any *

Annual leave (please complete box on right) Leave without pay

If annual leave, please confirm total hours of accrued leave you wish to use: *

Period of leave

Last day of work: *

Return to work date: *

Total number of working days off: *

Comment *

Date of application *

Submit