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Carry Over of Annual Leave Application Form – HR108(r)

In exceptional circumstances due to service requirements, annual leave may be carried forward into the first six months of the next annual leave year, provided the employee agrees to defer his/her leave.

In accordance with the provisions of the HSE Terms and Conditions of Employment (Revised) 2009.I hereby notify my employer that I intend to carry over Annual Leave.

Name *

Grade *

Personnel Number *

Location *

PPS Number *

Number of days carried over *

Number of hours carried over *

Reason for the carry over of annual leave *

Declaration *

I declare the information given above is true and correct

Agree