HOLIDAY REQUEST FORM

Name: Todays Date:

I wish to request: ……………………….

(number of days holiday)

From (day & date): To (day & date):

Number of days remaining:

(excluding public holiday)

Employee's Signature ……………………………………………….

Authorised by …………………………………………

Please give reasonable notice prior to commencement of your holiday

1 week or more - at least 4 weeks notice

Less than 1 week - at least 1 weeks notice