Submit Holiday Request

Full Name*

Date of Birth*

Contact Number*

Select a Branch

Keighley Branch
Burnley Branch

This form is only a request for holiday to be taken - it does not automatically grant a holiday.

You are entitled to 28 days holiday in any 12 month period. Your holiday is accrued on a 12 month rolling year based on hours worked.

It is a requirement that ALL requested holiday pay is received by the agency in writing at least one week prior to the first day of holiday to be taken. Should a request be received later than one week then this may result in payment being made after the dates requested. The holiday period is from 1st Jan – 31st Dec.

Accept Terms*

I have read the above statement

Employer*

Department

Supervisor

First Day of Holiday

Last Day of Holiday

Total Days Claiming For*