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Page 1 of 3 HR1 11/16/2008 Human Resources, Building 10a http://info.anu.edu.au/policies/forms/human_resources/ Enquiries: (02) 6125 3346 Facsimile: (02) 6125 5011 University ID: u Change of Address Family Name: Dept/Unit: School / Division: Phone: OLD ADDRESS Given Names/s: State Country if Outside Australia NEW ADDRESS Postal/Zip code Phone Day Mobile Fax State Country if Outside Australia Postal/Zip code AUTHORISED Signature: OFFICE USE ONLY Date: Human Resources, Building 10a http://info.anu.edu.au/policies/forms/human_resources/ Enquiries: (02) 6125 3346 Facsimile: (02) 6125 5011 University ID: Page Setup Important - see pic to right Font Specs: Arial, 8pt (Heading approx 18 pt) Name of Form * lots and lots of notes that require a merge and word wrap lots and lots of notes that require a merge and word wrap lots and lots of notes that require a merge and word wrap lots and lots of notes that require a merge and word wrap * next point * next point * next point Row Heights: spacer rows - 6 form rows - 15 notes rows - 12 Mast Head: - Check/update phone and fax numbers etc SEGMENT ONE Header: - View > Header and Footer - Update form number - Page & date are auto Notes: - Don't change column widths - Leave the border around inside form blank (except where there is a segment marker as illustrated) - Only merge form boxes once finished form - To 'unmerge' cells select merged area and go Format > Cells > Alignment > uncheck Merge Cells Page 3 of3 HR40 11/16/2008 Human Resources, Building 10a http://info.anu.edu.au/policies/forms/human_resources/ Enquiries: (02) 6125 3346 Facsimile: (02) 6125 5011 University ID: Application for Leave * Please refer to " Leave Provisions " — The Australian National University Enterprise Agreement 2003-2006 (Part 3, Section 4) for leave provisions. http://info.anu.edu.au/hr/Salaries_and_Conditions/Enterprise_Agreement/index.asp * Leave Credits can be checked using HORUS - http://horus.anu.edu.au/login.asp * Please write clearly in BLOCK LETTERS; please write — Y for Yes — N for No — in the appropriate boxes. * Please consult with your Case Manager if you are currently in receipt of Workers Compensation before applying for leave. Family Name: Dept/Unit: LEAVE TYPE Annual Leave Personal Leave Personal Leave Reason: Sick Family Care Is a medical certificate attached? (Y/N) (please mark one of the boxes below if you have indicated Personal Leave above) Bereavement Compassionate Cultural Birth, Adoption or Guardianship (Clause 38 of the ANU EA 03-06) Given Names/s: School / Division: (Please mark one category of leave; for more than one leave type, please complete separate forms for each type.) Has absence arisen from an accident at work? (Y/N) If Yes, state details: Long Service Leave Leave Without Pay Other Leave (Please mark one item) State reason: Please specify*: Full-time entitlement Half-time entitlement * E.g. Study Leave, Maternity Leave, Primary Care-giver Leave, Jury and Witness Service, Defence Service Training PERIOD OF ABSENCE First working day absent D D M M Y Y Y Y (Please specify the dates. If necessary to specify the times, please use 24-hour clock) Time H H M M Date of return to duty D D M M Y Y Y Y Time H H M M Number of days CONTACT DETAILS WHILE ON LEAVE Address or Location: Applicant Signature: D D Number of hours Phone: ( ) M M Y Y Date: Phone (wk): SUPERVISOR / DELEGATE TO COMPLETE (For information on Delegations see http://delegations.anu.edu.au) Are you reporting on the employee's behalf? (Y/N) Do you recommend the leave? (Y/N) Is payment of salary to be stopped (Y/N) Supervisor Signature: Delegate Signature: Delegate Print Name: If Yes, state reason/s If No, state reason/s If Yes, state reason/s D D M M Y Y Date: D D M M Y Y Phone (wk): Date: Phone (wk): Profile (e.g. Head of Budegt Unit, Admin Manager, Staff3)

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