subject_line
Casual Application for Leave
Casual Support Worker to Complete
Name
*
Position
Today's Date
*
+
Region / Location
*
North
North West
East
South
Other:
Other:
Type of
Unpaid
Leave Requested
Annual Leave
Compassionate Leave
Parental Leave
Personal Leave (Sick / Carers)
Long Service Leave
Community Service Leave
Other:
Other:
If applying for Parental Leave, do you intend to apply for Parental Leave Pay under the Australian Government Paid Parental Leave scheme?
Yes
No
Unsure
Days Requested
(number in total)
Hours (h
ours in total
)
Commencement Date
*
+
Return Date
*
+
Applicant Signature:
*
clear
Further Information:
0/500 characters
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