Leave & Employment Matters Form

This form enables you to send a query to People & Culture regarding Leave and Employment matters in the event you do not currently have access to email.

Please complete and submit and a PCC Business Partner will be in touch with you soon.

Employee Information
Name*
First Last
Employee Number*
Mobile
Email*
Department & Manager
Date of Leave Application
MM slash DD slash YYYY
Type of Leave Requested
Requested Leave dates
Shift length for each date i.e hours
Date of Travel
MM slash DD slash YYYY
Date of Return
MM slash DD slash YYYY
Location of Travel (incl transit airport)
Date of original rostered shift on return from leave
MM slash DD slash YYYY
Dates required to self-isolate if applicable
Start date
MM slash DD slash YYYY
End date
MM slash DD slash YYYY
Have you been COVID tested?
- Yes
- No
If yes, please supply certificate
Max. file size: 100 MB.
Further comments/ Circumstances (if any)

Leave & Employment Matters Form

Leave & Employment Matters Form

Employee Information