COVID-19 Leave Nomination Form

Note: If nominated to stand down, the annual leave, RDO, leisure days and LSL should be utilised if eligible. If no other leave entitlements are available, then paid personal leave may be approved at management's discretion. The provision of negative personal leave will only be available to employees who have insufficient entitlements and are required to self-isolate.
EMPLOYEE DETAILS
LEAVE ORDER OF PRECEDENCE
Please specify the order in which you would like to take your leave from 1-3* - required
STAND DOWN OPTION
Please specify the type of leave you would like to utilise for each working day.
EMPLOYEE

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Mandatory field(s) marked with *