Domestic Helper Annual Leave Request Form
Submit your annual leave request for approval. Please complete all required fields for processing.
Full Name
*
First Name
Last Name
Position/Role
*
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Leave Start Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Leave End Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Total Number of Leave Days Requested
*
Type of Leave
*
Paid Annual Leave
Unpaid Leave
Other
Reason for Leave
*
Emergency Contact During Leave (Name & Phone)
*
Address During Leave (if different from usual)
Supervisor/Employer Name
*
Additional Notes or Comments
Signature (Domestic Helper)
*
Submit Request
Submit Request
Should be Empty: