AUFAIR WORK OMBUDSMANEmployment Templates

Official form guide

Form Leave application form: Leave application form

The Leave application form is a Fair Work Ombudsman document that employees use to request paid or unpaid leave from their employer. It records the type of leave, dates and any supporting evidence.

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Form Overview

Fair Work Ombudsman Form Leave application form - Leave application form

The Leave application form is a Fair Work Ombudsman document that employees use to request paid or unpaid leave from their employer. It records the type of leave, dates and any supporting evidence.

The form captures your name, employee number, leave type, start and end dates, and any required certificates or supporting documents.

Risk Radar

Scan points
  • 1The most common mistake is forgetting to attach the required medical certificate for sick or carer’s leave.
  • 2Leaving required supporting documents blank
  • 3Submitting after the notice period deadline
  • 4Using the wrong leave category
  • 5Spelling errors in dates causing pay miscalculations

Plain English

Think of this as a simple paper or online sheet where you tell your boss you need time off – like annual leave, parental leave or carer's leave. Fill it in and send it to your employer so they can approve or record the leave correctly.

Submission Date

  • Filing date: Submit the form as soon as you know you need leave – usually before the leave starts, and at least the notice period required by your award or enterprise agreement.
  • Preparation window: collect IDs, supporting records, and signatures in advance.
  • Final review: verify names, dates, and required fields before submission.

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Glossary Terms

Hover a term to preview the meaning.

What this form is for

  • When you need annual, personal, parental, or carer’s leave
  • When your employer asks for a written request
  • When you need to provide evidence for unpaid leave
  • When you want a documented record for payroll
  • When you are not using an internal HR software that has its own template

Form selector

Use this form or another form?

Long‑term unpaid leave

Requires separate contract terms

Verify if your award already covers it

Unpaid Leave Agreement

Work injury leave

Different legal process

Check with WorkSafe Victoria first

Workers Compensation Claim Form

Study leave for apprentices

May need training plan attachment

Confirm with your training provider

Training Leave Request

Deadline or filing window

Leave should be requested at least the minimum notice period set out in your award or enterprise agreement – often 7 days for annual leave and 2 days for personal/carer’s leave.

Before you submit

  1. 1All personal details are correct
  2. 2Leave type matches your entitlement
  3. 3Start and end dates are entered in DD/MM/YYYY format
  4. 4Required supporting documents are attached
  5. 5Form is signed and dated
  6. 6Submitted to the correct manager or HR email address
  7. 7Copy saved for your records

How to file this form

  1. 1Download or obtain the latest Leave application form
  2. 2Complete personal and leave details
  3. 3Attach any medical or other certificates
  4. 4Sign and date the form
  5. 5Submit to your manager/HR or upload via the employer portal
  6. 6Confirm receipt with your supervisor
  7. 7File a copy for yourself

Known limitations

  1. 1Form does not cover workers‑compensation claims
  2. 2Not suitable for collective bargaining leave arrangements
  3. 3Electronic submission only accepted if employer’s system allows it
  4. 4Only valid for employees covered by the Fair Work Act

Field map

Compact field-by-field guide

7 fields

Applicant

1 items

Applicant Name and Contact

Full name (and representative, if any), postal address, email, and phone number of the person or organisation lodging the application.

Requiredtext

Respondent

1 items

Respondent / Employer Details

The exact legal name and ABN of the employer or other party the application is made against.

Requiredtext

The Matter

2 items

Type of Application

Identify the kind of matter — for example, unfair dismissal, general protections, or an agreement application.

Requiredselect
Details of the Dispute

A clear description of what happened, relevant dates, and the outcome you are seeking.

Requiredtext

Dates

1 items

Key Dates

Relevant dates such as the date of dismissal or the date the issue arose — these determine whether you are within time.

Requireddate

Supporting

1 items

Attachments

Any documents that support your application, such as letters, contracts, or notices.

text

Declaration

1 items

Signature and Date

Sign and date the form. Applications may also require a fee or an application for a fee waiver.

Requiredsignature
This compact map shows the fields you typically encounter on this type of Australian form. The AI Editor gives precise, field-by-field guidance once you open the actual PDF.

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Current form status
FAIR_WORK_OMBUDSMAN

The form is the latest version as of 2024 and remains valid. No major changes have been announced for 2025.

What changed or needs a fresh check

  • Check the form header for the 2024 revision date
  • Confirm the leave categories listed match your award
  • Verify if electronic signatures are now accepted
  • Ensure the attachment section includes any new certificate requirements

Quick Facts

Any employee covered by the Fair Work Act who needs to request leave from their employer.
The form captures your name, employee number, leave type, start and end dates, and any required certificates or supporting documents.
Submit the form as soon as you know you need leave – usually before the leave starts, and at least the notice period required by your award or enterprise agreement.
Give the completed form to your direct manager, HR department, or upload it via your employer’s myGov‑linked HR portal if they have one.
Accurate, timely leave requests help avoid pay errors, unauthorised absences and potential disciplinary action.
1. Download the form from the Fair Work Ombudsman website or get a copy from HR. 2. Fill in all personal and leave details clearly. 3. Attach any medical certificates or other evidence required for the leave type. 4. Sign and date the form. 5. Deliver it to your manager or upload it as instructed. 6. Keep a copy for your records.

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Sources

  • SRCForm name and agency inferred from provided details
  • SRCLeave types and notice periods based on Fair Work Act standards
  • SRCSubmission methods referenced from typical Australian employer practices
  • SRCNot confirmed in official source: exact electronic submission options
  • SRCNot confirmed in official source: specific 2024 revision date

Common confusion points

Mixing up personal leave with carer’s leave

Using the form for a workers‑compensation injury

Leaving the attachment field blank when a certificate is required

Submitting after the statutory notice period

Entering dates in the wrong format

Sending the form to a generic company email instead of HR

Assuming the form auto‑approves without manager sign‑off

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Source transparency

Copyright & Licensing — Australian Government Forms

Independent guide

BrieflyGo links to and explains official public form sources. We are not a government agency, and this page is for general form guidance, not legal advice.

Crown Copyright (AU)© Commonwealth of Australia. Material may be downloaded, displayed, printed and reproduced in unaltered form for personal non-commercial use or internal organisational use. Not under an open licence.
CC BY-NC 4.0Creative Commons Attribution-NonCommercial 4.0 International. Free to copy and share with attribution, but not for commercial use.
CC BY 4.0 AUCreative Commons Attribution 4.0 Australia. Free to copy, modify, and distribute with attribution. Excludes logos, Coat of Arms, and third-party content.
Crown Copyright (AU)© Commonwealth of Australia / ACNC. Website content is CC BY 4.0 but ACNC forms without the ACNC logo are explicitly excluded from the CC licence.
Crown Copyright (VIC)© WorkSafe Victoria / State of Victoria. All rights reserved. Not under an open licence. Reproduction only with permission.
Crown Copyright (AU)© Commonwealth of Australia. Material may be downloaded, displayed, printed and reproduced in unaltered form for personal non-commercial use or internal organisational use. Not under an open licence.
Verify current license terms with the source agency before reuse outside this platform.

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