Print this Form | Print this Form |
| Name | |||
| Title | |||
| Type of Leave | Annual Leave / Sick Leave / Lieu Leave / Alternative Holiday / Bereavement Leave / Other Leave | ||
| Requested From | To | ||
| Total Number of Working Days | |||
| Signed | |||
| Date | |||
| Approved | Approved / Not Approved | ||
| Signed | |||
| Date | |||
