Click here to enter text.

LEAVE ASSIGNMENT FORM

From: Click here to enter text.

To: HR department

The following staff members are to be sent on	Click here to enter text.	leave on the dates shown

Staff name	Leave start	Leave stop	Reliever	Reason (compassionate)
Choose an employee	Enter start date	Enter stop date	Choose an employee
Choose an employee	Enter start date	Enter stop date	Choose an employee
Choose an employee	Enter start date	Enter stop date	Choose an employee
Choose an employee	Enter start date	Enter stop date	Choose an employee
Choose an employee	Enter start date	Enter stop date	Choose an employee
Choose an employee	Enter start date	Enter stop date	Choose an employee
Choose an employee	Enter start date	Enter stop date	Choose an employee
Choose an employee	Enter start date	Enter stop date	Choose an employee
Choose an employee	Enter start date	Enter stop date	Choose an employee
Choose an employee	Enter start date	Enter stop date	Choose an employee
For official use: Signed: …………………………………………………… Date: ……………………………………………….	Processed: ☐ Date: Click here to enter text. Remarks: Click here to enter remarks