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Leave Request Form: 14/12/2020 Felipe Deronsi 22 Gabador MT Wellington X

Felipe Deronsi has submitted a leave request form to his supervisor at Steelcraft Engineering for annual leave from December 24, 2020 to January 11, 2021 to take Christmas and New Year holidays. The form details the type and dates of leave requested, requires supervisor approval, and notes Steelcraft policies around leave entitlements, pay, and responsibilities.

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Steelcraft engineering
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47 views1 page

Leave Request Form: 14/12/2020 Felipe Deronsi 22 Gabador MT Wellington X

Felipe Deronsi has submitted a leave request form to his supervisor at Steelcraft Engineering for annual leave from December 24, 2020 to January 11, 2021 to take Christmas and New Year holidays. The form details the type and dates of leave requested, requires supervisor approval, and notes Steelcraft policies around leave entitlements, pay, and responsibilities.

Uploaded by

Steelcraft engineering
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Leave Request Form

Please submit completed form to your supervisor.

Date of Application 14/12/2020

Employee Name
FELIPE DERONSI

Place of Work
22 GABADOR MT WELLINGTON

Type of Leave(please tick)X


 Annual Leave  STIL-Statutory Holiday In Lieu (for taking statutory holidays
 Sick Leave  Parental Leave  Bereavement Leave  Leave Paid in Advance  Leave without Pay
 Cashing Up Holiday  Other Leave(please specify)

Date of Leave Starting 24/12/2020

Date of Leave Ending 11/01/2021

Total No. of hours/days/amount 7 DAYS ON LEAVE

Reason for Leave: Christmas new year

 Steelcraft must be informed of all leave prior to it being taken and if in a current assignment, the client’s
permission and full agreement must be obtained.
 As per the Holidays Act 2003, if you have been employed by Steelcraft for twelve months, you will be entitled
to four weeks paid leave or 8% of your Gross Earnings, reduced by any leave taken in advance.
 If you have NOT been employed by Steelcraft for twelve months but you have accrued holiday pay, you may
apply for pay in advance of entitlement with the agreement of a Director of Steelcraft.
 Applications in respect of sick leave of three or more days must be accompanied by a medical
certificate issued by a registered medical practitioner.

 I have attached supporting documentation appropriate to the leave requested. Yes  No 


 I require payment in advance for Long Service Leave or Recreation Leave. Yes  No 
Please Note: If advance payment is required, one calendar month’s notice is required. Such payments will be
credited to your bank account in the pay period before leave commences, and will be made only in respect of those
payments which falls due during the period of leave.
 I understand that I am responsible for all deductions during unpaid leave. Yes  No 

Employee Signature: Felipe Date: 14/12/2020

Approved/Declined by Employer(Supervisor/Office Use Only) Approved?


Supervisor Name: Signature: Date: Yes / No

Payroll Check: Signature: Date: Yes / No

Director Name: Signature: Date: Yes / No


Payroll Entry Date:
Steelcraft Engineering Limited
31 Stonedon Drive East Tamaki, Auckland, New Zealand
PO Box 204266 Highbrook Auckland 2161
Phone: (09) 271 0727 Fax: (09) 969 5633

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