Start - Comeback Community

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?*
This 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 leave
Type of leave*
Do you know your leave and expected return dates?*
Date of leave
DD slash MM slash YYYY
Return date
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
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Consent
I agree to the privacy policy.
Phone
This field is for validation purposes and should be left unchanged.

About your leave