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Sick Leave Application
1
Personal
2
Leave details
Apply for sick leave
Welcome to the New Zealand Labour Hire Sick Leave Online Application. The details associated with this application will be recorded when you submit this form. Only the email you enter is part of your response.
Name
*
First name
Surname
Birth Date:
*
Day
Day
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Year
Year
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Email
Mobile Phone
*
Have you informed your manager at NZ Labour Hire about your absence?
*
Yes
No
This online application is Step 2 of the leave application process. Step 1 requires discussing your absence with your branch manager. Please contact your manager at NZ Labour Hire to complete Step 1.
Disclaimer: Providing false information will result in the rejection of this application.
Leave Details
Which NZ Labour Hire Branch do you work for?
*
Select an option
Auckland
Waikato
Bay of Plenty
Hastings
Taranaki
Wellington
Christchurch
Otago
Southland
Please provide details of the reasons for applying for leave?
*
Please enter the first day that you are applying for sick leave.
*
DD slash MM slash YYYY
Please enter the last day that you are applying for sick leave.
*
DD slash MM slash YYYY
Please upload a photo of your medical certificate.
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Select files
Max. file size: 10 MB.
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New Employee Registration
Sub Contractor Registration
Sick Leave Application
Annual Leave Application
Health & Safety Audit