KENYA FOREST SERVICE LEAVE APPLICATION FORM

NOTE: Application forms duly completed in triplicate (3 copies) should be sent to the Head, Human Resource
at least 14 days before leave commences.

PART (TO BE COMPLETED BY APPLICANT)

Name: ………………………………………………………...Designation …………………………………………
Personal Number ……………………………………………..Department/Work Station………………….……….
Nature of leave ………………………………………………. Number of days applied for ………..………………
From ……………………To……………………….
Signature ………………………..
My leave address will be ………………………………………………………………………................................
……………………………………………………………………………………………………………………….
Telephone No. ……………………………………..Cell phone……………………………………………………
While away Mr./Mrs./Ms. ……………………………........EST…………………………will perform my duties.

N/B: For maternity/paternity leave, documentary evidence will be required

PART II: TO BE COMPLETED BY THE HEAD OF DEPARTMENT/IMMEDIATE SUPERVISOR

a) I recommend ……………………..days leave
b) I do not recommend leave (indicate the reason)
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
Signature ……………………………………….Designation ……………………………………….……………….

Date ……………………………………………Official stamp………………………………………………………

PART III: OFFICIAL USE TO BE COMPLETED BY THE HUMAN RESOURCE DIVISION

Leave entitlement ……………………………………………….…….Days
Leave accumulated with permission ………………………………….Days
Leave so far taken during the year ……………………………………Days
Total number of days due …………………………………………….Days
Total number of days requested………………………………………Days
Balance ……………………………………………………………….Days
Applicant to resume duty on ………………………………………....

Computed by (Name) …………………………………………..Designation…………………………………………

Signature ………………………………………………………..Date………………………………………………..

PART IV: Payable leave allowance Kshs ……………………………………………..

PART V: Checked by, Human Resource Officer ……………………………………………………………………..

…………………………………………………………………………………………………………………………
Signature ………………………………………………………Date …………………………………………………

PART VI: Leave approved …………………………………..Date………………………………………………….

Official Stamp ………………………………………………................. (Head, Human Resources)