Holiday Authorisation Form

Holiday Authorisation

Employee Full Name *

Date of Request *

Employee Branch/Place of Work *

Authorised *

Accepted

Rejected

If rejected please give the reason below.

Authorisation Name *

Date Authorised *

Date From *

Date Until *

Amount of 'actual' holiday days to be deducted from entitlement:

Amount of 'actual' holidays authorised: *

Holiday Dates Authorised *

Rate of Pay *

Reasons for not authorising dates requested: *