Official form guide
This form confirms an agreement for taking annual leave in advance. You use it when you and your employer agree on dates for time off that fall outside the standard period of entitlement.
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Form Overview
This form confirms an agreement for taking annual leave in advance. You use it when you and your employer agree on dates for time off that fall outside the standard period of entitlement.
Plain English
Simply put, this document locks in a plan to take holiday pay before you've officially earned it or used it. It makes sure everyone agrees on those future leave dates upfront. This helps keep things clear when your annual leave is taken.
Submission Date
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Leave taken but no formal agreement
Use this if the dates are standard or agreed separately.
✓ Check the date range first
Dispute over leave entitlement
Use this when you disagree with how much leave you are owed.
✓ Confirm who is making the complaint
Fair Work Claim Form (or similar)
Leave taken without agreement
Use this if your employer hasn't formally signed off yet.
✓ Ensure dates match payroll records
Annual leave entitlement calculation query
Use this when questioning how many days you are entitled to in total.
✓ Reference the pay period on the slip
While there is no universal deadline listed on the form itself, submit it as soon as you agree to the dates to avoid confusion later in the financial year.
Field map
Applicant
1 items
Full name (and representative, if any), postal address, email, and phone number of the person or organisation lodging the application.
Respondent
1 items
The exact legal name and ABN of the employer or other party the application is made against.
The Matter
2 items
Identify the kind of matter — for example, unfair dismissal, general protections, or an agreement application.
A clear description of what happened, relevant dates, and the outcome you are seeking.
Dates
1 items
Relevant dates such as the date of dismissal or the date the issue arose — these determine whether you are within time.
Supporting
1 items
Any documents that support your application, such as letters, contracts, or notices.
Declaration
1 items
Sign and date the form. Applications may also require a fee or an application for a fee waiver.
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Fillable formOpen in Editor->This agreement is used when you and your employer agree to take annual leave before it's officially due. It confirms that mutual understanding for early time off.
Quick Facts
Downloads & source
Confusing 'advance' with 'accrued': Advance means taking it before the entitlement period; accrued means it has built up but hasn't been used yet.
Thinking this replaces your annual leave balance: It confirms *when* you take it, not necessarily that you have enough hours banked to cover it.
Not knowing who needs to sign: Both the employee and a designated employer representative must sign.
Using it for sick leave: If it's illness, use a Sick Leave form unless the doctor has advised a long-term recovery period requiring advance planning.
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