Decd Unpaid Leave Form PDF Details

When an employee needs to take time off from work, it is important to submit the necessary paperwork in order to ensure that the leave is documented correctly. The Decd Unpaid Leave Form is one document that employees may need to use in order to take unpaid leave. This form can be used for a variety of reasons, such as maternity leave, sick leave, or family medical leave. Read on for more information about the Decd Unpaid Leave Form and how to complete it. Employees who need to take unpaid leave should familiarize themselves with the Decd Unpaid Leave Form. This form can be used for a variety of reasons, such as maternity leave, sick leave, or family medical leave. The form must be completed and

QuestionAnswer
Form NameDecd Unpaid Leave Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesdecd vl198, Entitlements, decd unpaid leave form, vl198 form

Form Preview Example

Please return to:

 

VL197

Payroll – Team 05

Updated 01/15

Shared Services SA

 

 

 

Courier R11/15 or DX 703

Pay Group

GPO Box 11026

 

 

 

Adelaide SA 5001

 

 

 

Ph: (08) 8462 1305 (Press 1)

 

 

 

Fax: (08) 8124 9605

 

 

 

APPLICATION FOR SPECIAL LEAVE (inc. Leave Without Pay)

For all types of Special leave with and without pay including leave without pay for a full year.

Section 1: EmPLOYEE DETAILS

Person ID

 

 

 

Family Name

 

 

 

 

Given Name(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Location

 

 

 

 

 

 

 

 

 

 

Location Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Job Title

 

 

 

 

 

 

 

Classiication

 

 

 

 

Fraction of time/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

hours per week

 

Telephone

 

 

 

 

E-mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 2: LEAVE DETAILS

Type of Leave (see next page for details):

Period of Leave:

TO

 

 

 

(a speciic reason must be provided,

With pay

 

 

 

‘Special Leave’ will not be accepted)

 

 

Total working days

 

Total working hours

 

 

 

 

 

 

absent (eg. 1.0)

 

 

absent (hh:mm)

Without pay

SCHOOL SECTOR TEACHERS: PLEASE SEE NOTE ON NEXT PAGE REGARDING THE RECORDING OF SPECIAL LEAVE

Relevant Details: Please provide full details for reasons of absence below (If space is insuficient then please attach further detail)

Additional Details: (Required for Bereavement Leave and Leave to Move Residence)

BEREAVEmENT LEAVE

Relationship with Bereaved:

 

 

 

 

 

LEAVE TO mOVE RESIDENCE

New address:

 

 

 

 

 

 

 

 

Phone:

I hereby authorise all salary adjustments that may result from this leave application. I understand that I must obtain written approval from the CE or delegate by applying on the VL198 form before undertaking any employment whilst on this leave and that failure to do so may result in formal disciplinary action.

(Signature)

(Date)

Section 3: RECOmmENDATION - SUPERVISING OFFICER

I hereby recommend approval of this application for leave and verify the applicant’s work pattern details as correct and current.

Please print name

Position

(Signature)

(Date)

Section 4: DELEGATE APPROVAL: Subject to Entitlement

Please print name

Position

(Signature)

(Date)

Section 5: OFFICE USE

Entitlements available? Yes

RR0073

Maintain Work Absence

No

ENTERED BY

CHECKED BY

/ /

/ /

VL197 (continued)

NOTES FOR GUIDANCE IN USE OF THIS FORm

Purpose of this Form

This form is to be used by all staff including teachers, public servants and ancillary staff in the School sector, Department for

Education and Child Development (DECD) for the applications of all types of paid and unpaid special leave as determined by individual special leave entitlements. This includes leave without pay for a whole year.

Details of Special Leave:

Applicants are required to securely attach any necessary details and documentation in relation to the type of leave sought, as required by departmental policy. If the required details / documents are not delivered attached to applications for special leave,

requested leave will not be granted or processed. Some examples include:

•Elite Athletes

A copy of the Australian (or where appropriate, South Australian) body’s oficial advice regarding selection as a representative, and a copy of the oficial itinerary or details of the training camps

•Defence Reserves

Oficial Department of Defence notice of training or service

•Jury Service

Evidence detailing the duration of attendance and certiication that payment was not made

•Bereavement

Nature of the relationship with the bereaved (space provided on form)

•moving Residence

New address, phone details (space provided on form)

•Professional Associations / Union Activities

Evidence including details of organisation and requirement to attend

•Urgent Pressing Necessity

Relevant supporting details / documentation

•Infectious Disease

(Not to be taken from employees Sick Leave entitlement) Infectious Disease leave due to contraction of: Chickenpox, Diphtheria, Erysipelas, Glandular Fever, Herpetic Whitlow, Infectious Hepatitis, Infectious Mononucleosis, Measles, Meningitis, Mumps, Poliomyelitis, Rubella, Scarlet Fever, Streptococcal, Typhoid, Whooping Cough, Swine Flu and such other diseases as the Minister

may determine.

Types of Special Leave:

For detailed information pertaining to individuals’ speciic Special Leave entitlements and documentation requirements, please consult ‘Special Leave Policy - HR04’ and ‘Leave Management in Schools’ or Commissioner’s Determination 6. For further information, please contact HR / Payroll Services.

NOTE (for school sector teachers only):

While you can indicate on this form the actual number of hours needed to be taken, on the DECD pay system and on your payslip

it will be recorded as a full or half day. Where a teacher exhausts the 15 days Special Leave With Pay within a school year and can

provide evidence that the recording of leave in full or half day blocks has disadvantaged them relative to the recording of leave in hours, a claim for additional leave can be made to the Superintendent of Site Human Resources. For further information refer to ‘Special Leave Policy - HR04’.

Working while on approved leave

Under no circumstances can you work within DECD while you are on approved leave.

If you wish to work outside DECD while on leave then you must apply for approval and receive written conirmation prior to

commencing work. To apply please complete the form – Request to Work Outside DECD (VL198).

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1. The vl198 form usually requires specific details to be typed in. Make sure the following blanks are filled out:

Filling out segment 1 of Rubella

2. Now that the last part is completed, you'll want to insert the essential specifics in Relevant Details Please provide, Additional Details Required for, BEREAVEmENT LEAVE, Relationship with Bereaved, LEAVE TO mOVE RESIDENCE, New address, I hereby authorise all salary, Phone, Signature, Date, Section RECOmmENDATION, Please print name, Position, Signature, and Date so you're able to go further.

I hereby authorise all salary, New address, and Phone of Rubella

Concerning I hereby authorise all salary and New address, be sure you take another look in this section. The two of these are the most important ones in the form.

3. The following section is typically relatively uncomplicated, Please print name, Position, Signature, Date, Section OFFICE USE, Entitlements available, Yes, RR Maintain Work Absence, ENTERED BY, and CHECKED BY - every one of these fields will have to be completed here.

A way to complete Rubella step 3

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