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0330 999 3344

Holiday Request Form

To request holiday, please complete the form below.

A minimum of 28 days notice is required for any holiday request.

You must complete all parts of this form.

No holidays should be booked or taken until your request is authorised.

Your details

First Name

Surname

PIN

Who is your line manager?

Holiday Requested

First day of your holiday request

Day:

Month:

Last day of your holiday request

Day:

Month:

Total number of days holiday requested

Last Day

Date of your last shift

Day:

Month:

Finish time of your last shift

First available day

Date available to return to work a shift...

Day:

Month:

...from what time?

Other Information

What is your email address?

Any Message?