Leave Request FormThis form is for employees to use to apply to take leave. Please note that all annual leave or leave without pay must be approved and requested 4 weeks prior leave date. Please speak to your Team Leader if you require further information. Name First Last Leave Type Annual Leave Leave Without Pay Sick Leave Period of LeaveFirst day of leave DD slash MM slash YYYY Last day of leave DD slash MM slash YYYY Total Leave DaysPlease upload your Doctor's Certificate (if applicable)Max. file size: 64 MB.CommentsPlease add any comments if necessarySignatureDate DD slash MM slash YYYY