LEAVE RECORD –Type Leave Year
NAME: / BUSINESS AREA:Work Pattern (State days/hours worked) Monday
Tuesday
Total Hours ( ) Wednesday
Thursday
Friday
1. Basic Entitlement (inc extra statutory days)
2. 5 years service (pro rata if part time)
3. Public/Bank holidays (part timers only including floating day) NB all full time staff get all public/bank holidays as detailed over page
4. Carried Forward (max 3 days) (pro rata if part time) / Approved by Manager
Total: (No of Days or Hrs & mins as appropriate)
No of Days or
Hrs & mins / Period Applied For
(both dates inclusive) / Balance / Approved by Manager / Date Approved
From / To
Record of Banked Leave (prorata if part-time) Current Total:
No of Days or
Hrs & mins / Period Applied For
(both dates inclusive) / Balance / Approved by Manager / Date Approved
From / To
Annual Leave Purchased (pro rata if part-time) Total Purchased:
Date of Application / Period Applied For
(both dates inclusive) / No of Day or Hrs & mins / Balance / Approved By
From / To
Bank Holidays:List Holidays as appropriate
Purchasing Annual Leave
You can apply to purchase up to 10 days additional leave (pro rata) each year. You can apply at any point within the year, to be paid back within the same Financial Year. All requests must be agreed by your Line Manager and forwarded to Human Resources. More information on the policy for Purchasing Annual Leave and the application form can be obtained via the intranet.
Banking Annual Leave
You can apply to Bank up to 5 days leave (pro rata) each year providing you have had 28 days leave (pro rata for part time staff) in the leave year. You can carry forward and build up banked leave up to a maximum of 15 days (pro rata). Once there are 15 days (prorata) banked, some or all of this must be taken within the next Financial year. All requests must be agreed by your Line Manager and forwarded to Human Resources. More information on the policy for Banking leave and the application form can be obtained via the intranet.
Sickness while on Annual leave
If you have leave booked and are ill before it commences, you can cancel the leave and it will still be available to you. If you are absent due to sickness and wish to book annual leave, it should be applied for and supported by a letter from your doctor (see the Sickness Absence Guidelines). It will be classed as annual leave and not sickness absence. If neither of these apply and you are ill while on leave, you may be credited back your Annual Leave but only if certain criteria are met and only on the production of a medical certificate. This will be looked at on a case by case basis.
Carry forward of leave
If you wish to carry forward a maximum of 3 days (pro rata) Annual Leave into the following year, please complete Section 4 on the first page.