Leave Application Form Page 3
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3ADDITIONAL INFORMATION REGARDING LEAVE TYPES:
1.
Annual Leave:
tax would be inflated due to extra gross pay for LSL paid
at double pay, and that LSL entitlement would be
Staff must provide a minimum of one month’s notice prior
absorbed at a faster rate.
to
commencement of leave. Ensure this form is
completed and signed by relevant Department
For full time and part time employees if there is a public
Head/Manager
holiday during the period, the amount of long service
leave to be deducted is reduced by one day for the public
The minimum payment of annual leave is one working
holiday.
day.
5.
Maternity, Adoption and Parental Leave:
Shift workers proceeding on annual leave who wish to be
paid in respect of leave taken, shift and weekend penalty
A. Maternity/Adoption Leave
rates relating to ordinary time they would have earned
All full time and part time employees are entitled to
had they not taken annual leave must complete the roster
maternity leave (for women during or after their
section on the form, otherwise annual leave loading will
pregnancy) and adoption leave (during and after
be paid.
adoption), after completing 40 continuous weeks of
service.
2.
Sick Leave:
Entitlement is 14 weeks of paid leave, with the option of
You must complete a Sick Leave Application Form and
attach your medical certificate (if the absence is for more
12 months unpaid leave. Extension of the unpaid leave
than 2 days or as otherwise required) and provide it to
for a Further 12 months may occur with approval from
your Supervisor or direct Manager upon returning to
their department head / manager / supervisor.
work.
Returning to work on reduced hours for non-nursing staff
Note: Sick leave levels are monitored by management, in
must be negotiated with your department head /
accordance with Policy Directive PD2014_029 Leave
manager / supervisor. The maximum timeframe to work
Matters for the NSW Health Service.
reduced hours is for 12 months, or unless negotiated
further, up until your child has reached school age.
3.
FACS Leave:
Leave can be paid at ½ pay, full pay or in a lump sum.
All full time and part time employees may be granted
8 weeks’ notice is required before commencement on
Family & Community Service Leave (part time employee’s
maternity leave (no specific period of notice for adoptions
leave is paid on a pro-rata basis) for a range of personal
leave), and
4 weeks’ notice for return to work.
reasons encompassing family responsibilities,
performance of community service or pressing necessity.
Changes to maternity/adoption leave arrangement may
only occur once without the need for consent of the
Hours that maybe granted are calculated as 3 days within
employer.
the first year of employment, and thereafter 6 days within
a 2 year period (if commencing employment on or after 1
B. Parental leave for male employees and same
Jan 1995) non accumulative, or one working day, on a
sex partners
accumulative basis from 1 Jan 1995, for each year of
Whose partner is pregnant or adopting, are entitled to 1
service after 2 years continuous service, minus any
weeks paid parental leave and 51 weeks unpaid leave,
periods of FACS leave already taken by the employee
under the same approval criteria above.
since 1 Jan 1995 (whichever provide the employee with
6.
General: Please ensure / note:
greater entitlement).
All relevant sections of the form are completed, with
4.
Long Service Leave
signatures.
Employees who have had a minimum of 7 years’ service
That a copy is kept by the department head or employee
may be entitled to Long Service Leave.
That this form is only sent to HealthShare NSW Service
Entitlement is calculated and paid on calendar days (7
Centre for Annual Leave paid in advance, LSL and
days making up a week of leave).
Maternity leave.
Minimum payment for all staff is 1 week (7 days) per
For all other leave types, the form is to remain on file
leave request.
with the department manager.
All staff who apply for LSL, must at least one month prior
For further advice, please contact your Human Resources
to commencement of leave, complete this application
Department.
form and submit to their department head / manager /
supervisor to receive appropriate approval.Payment of
For further information, please refer to PD2014_029:
leave can be paid at ½ pay or double pay as an
Leave Matters for the NSW Health Service
alternative to full pay (except casuals). Please note that
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