Official form guide
This form confirms an agreement between an employee and their employer regarding the payment for unused annual leave. Use it when you and your boss decide that paying out accrued holiday time is better than taking the time off.
Need help with Form agreement to cash out annual leave?
Open it in the AI Editor for field guidance, checks, and PDF export.
Form Overview
This form confirms an agreement between an employee and their employer regarding the payment for unused annual leave. Use it when you and your boss decide that paying out accrued holiday time is better than taking the time off.
Plain English
Think of this as a formal handshake document about your paid holidays. You use it to officially say, 'Yes, I agree to get my holiday pay now instead of taking the days off later.'
Submission Date
AI co-pilot
Form selector
Dispute over pay rate
Use this to show what your entitlement *should* be before agreeing to cash out.
✓ Check if your award covers leave payout.
Fair Work Information Statement (FWIS) or Award/Agreement Form
Requesting time off but not getting paid for it
This is the initial request; this agreement form confirms the decision to pay instead of grant leave.
✓ Ensure the dates requested match the agreed-upon payout amount.
Leave Request Form (Internal Company Form)
General employment terms change
Use this if you are changing more than just leave entitlement or payment structure.
✓ Not confirmed in official source.
Fair Work Ombudsman General Agreement Form
There is no fixed deadline, but submit it before your pay cycle closes to ensure timely payment processing.
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.
Almost done reviewing the fields?
Fillable formOpen in Editor->This form confirms a specific agreement about paying out annual leave. It is the standard document used when an employee and employer agree to cash out holiday time instead of taking it.
Quick Facts
Downloads & source
Confusing 'Cash Out' with 'Take Leave': Cashing out means getting paid *instead* of taking time off.
'Agreement to cash out' vs. 'Leave Request': The request asks for leave; this form confirms they are paying you for it instead.
Not knowing the rate: If the rate isn't on the form, ensure your award rate is used as the basis for calculation.
Who signs? Both parties must sign—the employee and the employer/authoriser.
Assuming it’s automatic: Filing this does not mean payroll processes it instantly.
Source transparency
BrieflyGo links to and explains official public form sources. We are not a government agency, and this page is for general form guidance, not legal advice.
Review risky clauses in plain English, fix the document, and keep it moving toward signature.