Holiday Request - Carers Trust EHHR

Note

Complete all sections below. You will receive a copy of your holiday request via email. Please note that a response will be sent to the email we have on file.

Personal Details

Name*

First Last

Annual Leave request details

Period requested*

From	To

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Total number of days*

Clients Affected

Please list all the clients who will be affected during your absence.*

Client's Name	Was the client informed?	Does the client want a cover?	Has cover already been arranged?	If so, who?

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Additional Information

Notes

Office Use

Recorded in Annual Leave Diary and on Webroster

Authorising Manager

First Last

Annual Leave taken

(inclusive of this request)

Annual Leave remaining

Authorising Manager's Signature

Date