Leave Application – Andersons Scaffolding Services Pty Ltd

Leave Form

Date:(Required)

Name:(Required)

Type of leave requested:(Required)

If applying for Carer's leave, please refer to the Policy Manual and/or Fairwork via the link below to confirm elegibility. We (the employer) also retain the right to request evidence to support this type of leave before any entitlement is paid.

https://www.fairwork.gov.au/leave/sick-and-carers-leave/paid-sick-and-carers-leave

Length of leave:(Required)

First day of leave(Required)

Last day of leave:(Required)

Total number of days off:(Required)

Start time of leave (single day only)(Required)

Finish time of leave (single day only)(Required)

Total number of hrs off (single day only):(Required)

Upload Doc cert if applicable

Drop files here or

Max. file size: 100 MB, Max. files: 5.

Signature