Holiday Claim Form

Holiday Claim Form
NAME
ADDRESS
TOWN
CITY
COUNTY
POSTCODE
NI NUMBER
AGENCY
I wish to claim holiday pay for the following days annual leave
From (day)
Date
To (day)
Date
Total no. of normal working days this request:
I will be returning to work on:
Annual leave entitlement in days this holiday year
Total no. of days taken so far from entitlement
OR
Insert Date
Please pay ALL holiday pay due to me on the following date
I wish to claim ___% of my holiday pay due to me, to be paid on the
following date
__________________________
__________________________
Signed by the Temporary Worker
Date
_____________________ _
Signed on behalf of the Company
__________________________
Date
WP05
Issue 1
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