Your Name (required) br>
Your Email (required)
Type of Leave: Annual LeaveSick LeaveTime in LieuOther (specify)
If Other, please specify:
Number of your Working Days on Leave:
Last Day at Work:
First Working Day on Leave:
Last Working Day on Leave:
The Day you Return to Work:
Total Elapsed Days you are Away:
Comments or Reason for Leave:
Note: If you are taking Sick Leave and it is greater than 2 days, you will need to provide a Doctor's Certificate to SCA's Accounts Department. Have you provided a Doctor's Certificate? N/AYESNO
1. For Annual Leave, this form must be submitted at least 1 month prior to Leave being taken.
2. For Time-in-Lieu, this form should be submitted at least 3 working days prior to leave being taken.
3. Leave is not automatically granted. Therefore, please ensure you have received APPROVAL before you finalise your plans. Note: Volunteers do not require 'Approval' however it is very important that you do advise planned leave with maximum notification for scheduling/availability purposes.