Leave Application

HR_FOR_02.3

Apply for leave. Once submitted, your application is sent to your manager for approval and copied to Payroll.

Don't fill this out:

Employee Details

First Name*

Surname*

Employee Number*Four digits, given to you when onboarded (students end in SV) — find it on your payslip.

Department*

Site*

Mobile

Email*

Address

Suburb

Postcode

Type of Leave

Select the applicable type*

Please select if you are part time or full time*

Part Time Full Time

Type of shift*

Day Night Saturday Sunday

Annual Leave

Annual leave must be requested at least four (4) weeks before the proposed leave start date, wherever reasonably practicable.

Annual leave is not approved until written approval has been received from your Manager. Employees must not make non-refundable travel arrangements or assume the leave has been approved before receiving confirmation.

Requests submitted with less than four weeks' notice will be considered based on the circumstances, available staffing and operational requirements and may not be approved.

Personal/Sick or Carer's Leave

Employees must personally notify their Manager as soon as reasonably practicable and, wherever possible, before their scheduled shift begins.

Notification should include the expected period of absence. Sending only a leave form, text message to another employee or arranging a replacement does not replace the requirement to notify the Manager directly.

A medical certificate or other satisfactory evidence may be required:

for an absence of one day or more;
where the employee has been advised that evidence is required;
where there is a pattern of absences, including before or after weekends, public holidays or approved leave; or
where Iconic otherwise reasonably requests evidence.

Leave Dates

For "Cash out annual leave" only Total hours is required (dates are not needed).

From (first day of leave)*

To (last day of leave)*

Total days*

Total hours*

Public holidays in period*

Medical Certificate

For personal / sick leave you may need to attach a medical certificate.

I am attaching a medical certificate

Upload medical certificate (PDF or image, max 10 MB)

Declaration

Sign below to confirm this application is true and correct. Your manager and Payroll will counter-sign on receipt.

Employee signature* (sign below)

Date*

Send to

Select your site and manager. Sent to that manager for approval and copied to Payroll.