Application for Leave Employee ID: 3023567

Phone: 0493677897
Calvary Retirement Communities745d28fd- Surname: Noguera
62d9-4412-aa30-1ec8bc960af8
Given names: Ryan Vincent
Location / Site: Rye Sands

Instructions
Employee

1. Please complete all necessary sections of the form and hand it to your Manager for approval.

2. Please ensure any supporting documentation relevant to your leave is attached e.g. Medical Certificate

Manager

1. For planned leave the form must be approved and entered into the roster in Kronos prior to the leave.

2. For unplanned leave the form must be approved and entered into the roster in Kronos immediately following the leave.

Leave Details
Type of Leave Supporting Documentation

Annual 

Personal  Medical Certificate/ Statutory Declaration 

Personal (Carers)  Medical Certificate/ Statutory Declaration 

Compassionate  Death Notice/ Statutory Declaration 

ADO/ALD 

Community Service  Applicable supporting documentation 

Jury  Jury Notice 

Long Service 

Maternity Leave  Medical Certificate with expected due date 

Other -  

From (first day To (last day Number of

13/07/2023 13/08/2023 20
of leave): of leave): Days:

Notes:

Signatures and Approvals

Employees Signature Date 10 / 07/2023

Supervisor/Manager’s Signature Date / /

Entered in Roster: / / Copy to Employee: / / Original Filed / /

Payroll Office Use Only

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