Holiday Pay Request

Servoca Nursing & Care – Holiday Pay Request

Use this form to request payment from your accrued holiday balance.

Please enter the date range for which you are requesting holiday pay and the total number of holiday hours you wish to claim.

You can claim a maximum of 12 hours of holiday pay per day. Holiday pay should only be requested for days on which you have not worked.

Name(Required)

First Last

Email(Required)

Payroll Number

Your payroll number can be found on your Servoca payslip, under the heading Worker No.

Branch(Required)

Holiday Pay From:(Required)

Holiday Pay To:(Required)

Number of Holiday Hours Requested(Required)

Please enter the total number of hours you wish to claim from your accrued holiday balance. You can claim a maximum of 12 hours per day within the date range entered above.

Please enter a number greater than or equal to 1.

Declaration(Required)

I confirm that the information provided is correct and that the holiday hours requested relate only to days on which I have not worked. I understand that I can claim a maximum of 12 hours of holiday pay per day.

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