Holiday Request Form

Your Information

* Name

* Centre

* Email

* Phone Number

* DOB

Line Manager

* Line Manager

* Line Manager's Email

Holiday Request

* First Date of Absence

* Return to Work Date:

* Annual Leave Taken To Date (Including this request):

* Annual Leave Entitlement Remaining

Other Information

Any other information:

Disclaimer

* I understand that these dates are subject to approval by the HR department depending on the company's need.