Long Service Leave Application

Indicates required field
An email will be sent to this email address to approve the leave.
Note: Each period of absence on long service leave must be a minimum of 7 calendar days. To apply for split leave types, select both checkboxes.
Note: Each period of absence on long service leave must be a minimum of 7 calendar days. To apply for split leave types, select both checkboxes.
Address while on long service leave:

Address while on long service leave

Address while on leave:

By submitting this form, I acknowledge that:

 

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