UNIVERSITY OF WOLVERHAMPTON PERS084 by tyndale

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									UNIVERSITY OF WOLVERHAMPTON                                                                                                          PER013(a)

REQUESTS FOR UNPAID LEAVE/PATERNITY LEAVE/UNPAID PARENTAL LEAVE/UNPAID
TIME OFF FOR DEPENDANTS

Please complete the appropriate section and send to the Personnel Services Department for
approval and processing.

N.B. For requests for Bereavement Leave, Compassionate Leave, and Exceptional Annual Leave,
please complete PERS013 and submit to your Dean/Head of Department for approval.


FROM:.................................................(Name)                         TO:................................................(Deand/HoD)

       .................................................(Location.) ............ ........................................(School/Dept)
____________________________________________________________________________________

PAID PATERNITY LEAVE

The expected date of the birth of the baby is ...................................... and I wish to apply for ..................
day(s) paid Paternity Leave from .................... to ..................... inclusive.
I will supply a copy of the Birth Certificate/Matching Certificate as soon as possible.

____________________________________________________________________________________

UNPAID LEAVE
(excluding Parental Leave and Time Off for Dependants)

I wish to apply for .................. day(s) Unpaid Leave from .................... to ..................... inclusive.

Please give reason for request:

___________________________________________________________________________________

UNPAID PARENTAL LEAVE

I wish to apply for .................. day(s) unpaid Parental Leave from .................... to ..................... inclusive.

____________________________________________________________________________________

UNPAID TIME OFF FOR DEPENDANTS

I wish to apply for .................. day(s) unpaid Time Off for Dependants Leave from ....................
to ..................... inclusive.

Please give reason for request:

____________________________________________________________________________________

Signed:...........................................................................                                 Date:.............................

Approved by:.................................................................                                       Date:............................
(Dean/Head of Department)

Approved:(Personnel Manager)………………….................................................. ...                          Date:..........................

								
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