Disability leave policy - NASUWT
Disability leave policy - NASUWT
Disability leave policy - NASUWT
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Appendix One Model application form for <strong>Disability</strong> LeaveDear ______________Date ______________Name of applicant _____________________________________Under these provisions and in line with the disability <strong>leave</strong> <strong>policy</strong>, I wish to apply for <strong>leave</strong> of absence for________________ day(s) commencing ______________ and ending ________________.The reasons for this absence are (give full details):Attachments (e.g. medical appointment letter)I have attached the following information:Signed [ applicant ]To be completed by the line managerI confirm that the <strong>leave</strong> requested has been granted.Signed: ___________________________________Date: ________________Your request has been declined.Signed: ___________________________________Date: ________________Reasons for not granting the <strong>leave</strong>:Date to meet with employee to discuss decision: ________________9
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