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: Given Names/s:
Dept/Unit:
School / Division:
Phone:
OLD ADDRESS
State Postal/Zip code
Country if Outside Australia
NEW ADDRESS
Phone
Day
Mobile
Fax
State Postal/Zip code
Country if Outside Australia
AUTHORISED
Signature: Date:
OFFICE USE ONLY
Human Resources, Building 10a Page Setup
http://info.anu.edu.au/policies/forms/human_resources/ Important - see pic to right
Enquiries: (02) 6125 3346
Facsimile: (02) 6125 5011 Font Specs:
Arial, 8pt
University ID:
(Heading approx 18 pt)
Name of Form Row Heights:
spacer rows - 6
* 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
form rows - 15
require a merge and word wrap lots and lots of notes that require a merge and word wrap
notes rows - 12
* next point
* next point Mast Head:
* next point - Check/update phone and fax
numbers etc
Header:
- View > Header and Footer
SEGMENT ONE - 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: Given Names/s:
Dept/Unit: School / Division:
LEAVE TYPE (Please mark one category of leave; for more than one leave type, please complete separate forms for each type.)
Annual Leave
Personal Leave Is a medical certificate attached? (Y/N)
Personal Leave Reason: (please mark one of the boxes below if you have indicated Personal Leave above)
Sick Bereavement Cultural
Family Care Compassionate Birth, Adoption or Guardianship (Clause 38 of the ANU EA 03-06)
Has absence arisen from an accident at work? (Y/N)
If Yes, state details:
Long Service Leave (Please mark one item) Full-time entitlement Half-time entitlement
Leave Without Pay State reason:
Other Leave Please specify*:
* E.g. Study Leave, Maternity Leave, Primary Care-giver Leave, Jury and Witness Service, Defence Service Training
PERIOD OF ABSENCE (Please specify the dates. If necessary to specify the times, please use 24-hour clock)
First working day absent Time Date of return to duty Time
D D M M Y Y Y Y H H M M D D M M Y Y Y Y H H M M
Number of days Number of hours
CONTACT DETAILS WHILE ON LEAVE
Address or Phone: ( )
Location:
Applicant D D M M Y Y
Signature: 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) If Yes, state reason/s
Do you recommend the leave? (Y/N) If No, state reason/s
Is payment of salary to be stopped (Y/N) If Yes, state reason/s
Supervisor D D M M Y Y
Signature: Date: Phone (wk):
Delegate D D M M Y Y
Signature: Date: Phone (wk):
Delegate
Print Name: Profile
(e.g. Head of Budegt Unit, Admin Manager, Staff3)