AUFAIR WORK OMBUDSMANEmployment Templates

Official form guide

Form Leave application form: Leave application form

The Annual leave and long service leave application form is a paper template from the Fair Work Ombudsman for employees to request paid annual leave, half‑pay leave, leave in advance, unpaid leave or long service leave. Use it whenever you want official approval before taking any of these leave types.

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Form Overview

Fair Work Ombudsman Form Leave application form - Leave application form

The Annual leave and long service leave application form is a paper template from the Fair Work Ombudsman for employees to request paid annual leave, half‑pay leave, leave in advance, unpaid leave or long service leave. Use it whenever you want official approval before taking any of these leave types.

It captures your name, position, contact, the type of leave, the leave period, total working days off (excluding public holidays and RDOs), any comments, and signatures from you and your manager.

Risk Radar

Scan points
  • 1Most people forget to exclude public holidays and RDOs from the total days off.
  • 2Leaving the manager’s approval box blank
  • 3Including public holidays or RDOs in the total days count
  • 4Requesting advance leave without confirming accrual
  • 5Not keeping a signed copy for yourself

Plain English

This is a simple form you fill out to ask your boss for holiday or long‑service leave. It records the dates you want off, how many work days you’ll be away, and needs both your and your manager’s signatures.

Submission Date

  • Filing date: Submit the form before the leave period starts so the manager can approve it in time. Not confirmed in official source for exact deadline.
  • Preparation window: collect IDs, supporting records, and signatures in advance.
  • Final review: verify names, dates, and required fields before submission.

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Glossary Terms

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What this form is for

  • When you need approved paid annual leave (full or half pay).
  • When you want to request leave in advance of accrual.
  • When you are applying for unpaid leave.
  • When you are applying for long service leave.
  • When you need a written record for both employee and manager.

Form selector

Use this form or another form?

Requesting parental leave

Different statutory entitlement

✓ Verify eligibility on Fair Work website

Parental leave application (Fair Work)

Applying for workers compensation time off

Injury‑related absence, not regular leave

✓ Confirm injury report filed

Workers Compensation claim form

Seeking flexible work arrangements

Change to work hours, not time off

✓ Check employer policy

Flexible work request form (Fair Work)

Deadline or filing window

The form should be submitted before the requested leave begins; there is no statutory deadline but early submission helps avoid refusal.

Before you submit

  1. 1Enter full name, surname, position and contact phone number.
  2. 2Tick the correct leave type(s).
  3. 3If applying for more than one type, add details in the comments box.
  4. 4Calculate total working days off, excluding RDOs, public holidays and substituted days.
  5. 5Enter last day of work, return to work date and total days.
  6. 6Sign and date the employee section.
  7. 7Obtain manager/supervisor signature, name and date.
  8. 8Keep a copy for your records.
  9. 9Submit the completed form to your manager or HR as required.

How to file this form

  1. 1Complete the employee details section.
  2. 2Select the appropriate leave type(s) and fill the comments if needed.
  3. 3Enter dates, total days and sign the form.
  4. 4Present the form to your manager/supervisor for approval.
  5. 5Manager signs, adds reason if refused and dates the form.
  6. 6Make a copy for yourself.
  7. 7Hand the original to HR or the designated leave administrator.

Known limitations

  1. 1Form is paper‑only; no online version is provided in the source.
  2. 2Leave taken before accrual can be deducted from final wages on termination.
  3. 3Public holidays, RDOs and substituted days must not be counted in total days.
  4. 4Unreasonable refusal of paid annual leave is prohibited by law.
  5. 5Only suitable for annual, half‑pay, advance, unpaid and long service leave.

Field map

Compact field-by-field guide

7 fields

Applicant

1 items

Applicant Name and Contact

Full name (and representative, if any), postal address, email, and phone number of the person or organisation lodging the application.

Requiredtext

Respondent

1 items

Respondent / Employer Details

The exact legal name and ABN of the employer or other party the application is made against.

Requiredtext

The Matter

2 items

Type of Application

Identify the kind of matter — for example, unfair dismissal, general protections, or an agreement application.

Requiredselect
Details of the Dispute

A clear description of what happened, relevant dates, and the outcome you are seeking.

Requiredtext

Dates

1 items

Key Dates

Relevant dates such as the date of dismissal or the date the issue arose — these determine whether you are within time.

Requireddate

Supporting

1 items

Attachments

Any documents that support your application, such as letters, contracts, or notices.

text

Declaration

1 items

Signature and Date

Sign and date the form. Applications may also require a fee or an application for a fee waiver.

Requiredsignature
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Current form status
FAIR_WORK_OMBUDSMAN

The Annual leave and long service leave application form is a current paper template from the Fair Work Ombudsman. No recent updates are noted in the source.

What changed or needs a fresh check

  • Confirm the form header matches the latest version on fairwork.gov.au.
  • Verify the Infoline phone number (13 13 94) is still current.
  • Check that the leave type boxes include all options listed in the source.
  • Ensure the manager approval section is present and unchanged.
  • Not confirmed in official source

Quick Facts

Any employee who wants to take annual leave or long service leave must complete this form.
It captures your name, position, contact, the type of leave, the leave period, total working days off (excluding public holidays and RDOs), any comments, and signatures from you and your manager.
Submit the form before the leave period starts so the manager can approve it in time. Not confirmed in official source for exact deadline.
Give the completed form to your manager or supervisor for approval and keep a copy for your records. Not confirmed in official source for online submission.
Correctly completed forms ensure your leave is approved, your pay is calculated correctly, and prevents unlawful withholding of wages for un‑accrued leave.
1. Write your first name, surname, position and phone number. 2. Tick the appropriate leave type(s) and add details in the comments if you need more than one. 3. Enter the last day of work, return‑to‑work date and calculate total working days off, leaving out public holidays, RDOs or substituted days. 4. Sign and date the form, then hand it to your manager for their signature and approval. 5. Keep the signed copy for your records.

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Sources

  • SRCForm title: Annual leave and long service leave application formconfirmed.
  • SRCLeave types listed (annual full pay, half pay, in advance, without pay, long service)confirmed.
  • SRCEmployee details fields (first name, surname, position, contact phone)confirmed.
  • SRCNote about not including RDOs, public holidays, substituted daysconfirmed.
  • SRCManager approval section with signature and reason for refusalconfirmed.
  • SRCInfoline phone number 13 13 94confirmed.
  • SRCStatement that you cannot unreasonably refuse paid annual leaveconfirmed.
  • SRCVersion number or revision datenot confirmed in official source.

Common confusion points

Leaving the comments box blank when requesting multiple leave types.

Including public holidays or RDOs in the total number of days.

Forgetting to sign the employee section.

Manager forgetting to sign or add a reason for refusal.

Selecting the wrong leave type (e.g., half pay vs full pay).

Not noting that advance leave may be reclaimed on termination.

Assuming the form can be submitted electronically.

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Source transparency

Copyright & Licensing — Australian Government Forms

Independent guide

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.

Crown Copyright (AU)© Commonwealth of Australia. Material may be downloaded, displayed, printed and reproduced in unaltered form for personal non-commercial use or internal organisational use. Not under an open licence.
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Crown Copyright (VIC)© WorkSafe Victoria / State of Victoria. All rights reserved. Not under an open licence. Reproduction only with permission.
Crown Copyright (AU)© Commonwealth of Australia. Material may be downloaded, displayed, printed and reproduced in unaltered form for personal non-commercial use or internal organisational use. Not under an open licence.
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