Step 1 of 2 50% Name First Last Company Name*Email* Enter Email Confirm Email Please note that unless your email domain has been pre-authorised it will not be possible to submit this form. In such cases please ask your HR department to contact us. Would you like to include a personal e-mail address?*YesNoThis means we can continue to send you relevant resources should you not have access to your work email whilst on leave.Personal Email About your leaveType of leave*MaternityPaternityShared ParentalAdoption LeaveSick LeaveCarer's LeaveSabbaticalOtherDo you know your leave and expected return dates?*Yes, bothYes, leave date onlyNot sureDate of leave Date Format: DD slash MM slash YYYY Return date Date Format: DD slash MM slash YYYY Without your dates, we can't send you tailored information at the right time. You can enter dates and change them later to reflect changes to your circumstance.Line Manager's Email Enter Email Confirm Email This is so that we can send your line manager timely prompts to help them help you. Your line manager will receive an email....Name of your Line Manager First Last CAPTCHAConsent I agree to the privacy policy.PhoneThis field is for validation purposes and should be left unchanged.
