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| Claiming Holiday Pay | |||||
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Dear Nurse It is necessary to complete the enclosed form in order to claim holiday entitlement. Please refer to your statement of employment for terms and conditions. |
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Name …………………………………………………………………………………………… Date ……………………………………… (please tick) |
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| I would like to claim my holiday entitlement for a total of ………… hours. |  |
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| I would like to claim my total holiday entitlement. | |
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Signed ………………………………………………………………………………………………………… Print name……………………………………………………………………………………… Band ……………………………………… |
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| Office Use Only | |||||
| Auth by ……………………………………………………………… | Date …………………………………………………………………… | ||||
| Checked …………………………………………………………… | Carried Forward ………………………………………………… | ||||
| Ent on Database ……………………………………………………… | Hourly Rate ………………………………………………………………… | ||||
| Amount Paid ……………………………………………………………… | |||||
| Not Allowed - Give reason …………………………………………………………………………………………………………………………………… | |||||
| ……………………………………………………………………………………………………………………………………………………………… | |||||
| ……………………………………………………………………………………………………………………………………………………………… | |||||
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