leave request form - Our Tesco

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2.11.5 LEAVE REQUEST FORM This form should be completed for the following types of leave and passed to your Line Manager: Adoption, Pre-Adoption, Antenatal, Postnatal, Career Break, Extended Holiday, Religion and Faith Time, Foster Care, Lifestyle Break, Parental leave, Study leave or Organ Donation leave. For Bereavement leave, Emergency leave, Compassionate leave, Fertility Support, Maternity, Paternity leave, requesting Flexible Working, or if you are unsure whether you are eligible for a type of leave, speak to your Line Manager or Personnel Manager Colleague name:

Department:

Type of leave requested: Start date of leave: I intend to return to work on: Notes supporting request - optional Please write any details below which may support your application ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Colleague signature:

Date:

----------------------------------------------------------------------------------------------------------------------------- ---------------Manager use only:  Authorised –- in agreement with (if applicable)_________________________________________  Declined – Reason: ______________________________________________________________ Manager signature__________________________________________ Date: ______________________ Manager to confirm leave details with Wages and file this copy in colleague’s Personnel file

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LEAVE REPLY SLIP Complete and return to the colleague for the following types of leave: Adoption, Pre-Adoption, Antenatal, Postnatal, Career Break, Extended Holiday, Religion and Faith time, Foster Care, Lifestyle Break, Parental leave, Study leave or Organ Donation leave. For all other types of leave, a response will be via a letter or agreed verbally  I confirm that your request for _________________________ leave has been granted from _________________ and you will return to work on ______________________________________ Or  I confirm that your request for leave has been declined for the following reasons: ___________________________________________________________________________________ ___________________________________________________________________________________ Manager signature:

Date:

RL 2.11.5 2014-10 v01 October 2014 TERMS AND CONDITIONS Leave Request Form

2.11.5

October 2014 TERMS AND CONDITIONS Leave Request Form