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Home
Who We Are
About Us
Strategic Plan
Our Services
Tailored In Home Care
Supported Independent Living (SIL)
Community Nursing
Community Access and Integration
Cleaning And Gardening
NDIS
Staff Portal
Contact Us
Work With Us
Leave Request Form
Leave Request Form
Employee Details
Full Name
Employee ID
Position / Title
Department
Employee Type
Full Time
Part Time
Casual
Leave Details
Type of Leave Requested:
Annual Leave
Personal/Carer's Leave (Sick Leave)
Compassionate Leave
Parental Leave
Long Service Leave
Community Service Leave
Other
Start Date of Leave
End Date of Leave
Total Number of Working Days
Reason for Leave (if applicable)
Supporting Documentation
Is supporting documentation attached? (e.g., medical certificate, statutory declaration, jury duty notice)
Yes
No
Employee Declaration
I declare that the information provided in this application is true and correct. I understand that providing false or misleading information may result in disciplinary action.
Employee Signature
SUBMIT
