HR, classic form

Leave request template (classic)

A leave request with leave type, dates, working days, balance, evidence when needed, cover arrangements and contact while away.

18 questions, 13 required, as a classic form

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The Leave request template as a respondent sees it, top of the form

Every question

  1. Your name (required)

    Full name

  2. Employee number (required)

    Short answer

  3. Your team (required)

    Dropdown: Line haul drivers, Local delivery, Warehouse, day shift, Warehouse, night shift, Transport planning, Customer service, Workshop

  4. Your manager's email (required)

    Short answer

  5. What kind of leave? (required)

    Single choice: Annual leave, Annual leave at half pay, for twice as long, Annual leave in advance, before I have accrued it, Personal leave, I am unwell, Carer leave, someone in my household needs me, Compassionate leave, Long service leave, Unpaid leave, Time in lieu I have already accrued

  6. First day away (required)

    Date

  7. First day back at work (required)

    Date

  8. Working days you are asking for (required)

    Number

  9. Is any of it a half day? (required)

    Single choice: No, Yes, the first day, Yes, the last day

  10. Balance you believe you have, in days

    Number

  11. Anything your manager should know

    Long answer

  12. Certificate or statutory declaration

    File upload

  13. Who is covering you? (required)

    Short answer

  14. Have you spoken to them? (required)

    Single choice: Yes, they have agreed, Not yet, Nothing needs covering

  15. What is in flight that somebody will need to pick up

    Long answer

  16. Can you be contacted? (required)

    Single choice: No, and please do not, Emergencies only, Yes, ring me if you need to

  17. Number while you are away

    Short answer

  18. I confirm (required)

    Multiple choice: The dates above are the days I am rostered to work, not the calendar days I am away, If I am taking leave in advance, I understand any unaccrued portion can be recovered if I leave, I have not booked anything that depends on this being approved, If the leave is cancelled or changed I will send this form again rather than telling one person

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