Tuesday for a period of six weeks. Applications for patterned long service leave require this form to be submitted in conjunction with a listing of all the individual dates you wish to have leave. Medical certificate must be attached. PAYMENT OPTIONS If long service leave is granted I request to receive please mark with an x See reverse for details on options available Standard fortnightly payments OR Payment in advance Advanced payment split over two financial years EMPLOYEES WHOSE SERVICE INCLUDES PART-TIME SERVICE Payment Entitlements See reverse for details on options available Average Rate Full Time Rate Nominated Percentage of Full Time Rate I hereby authorise all salary adjustments that may result from this leave application. I understand also that I must obtain written approval before undertaking any employment whilst on this leave and that failure to do so may result in formal disciplinary action. Applicant s signature / Date SECTION 3 RECOMMENDATION - SUPERVISING OFFICER Plea....

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How to fill out the Vl158 online

Filling out the Vl158 form for long service leave can be straightforward with the right guidance. This guide will provide you with clear instructions on each section of the form to ensure you complete it accurately and effectively.

Follow the steps to successfully complete the Vl158 form.

  1. Click ‘Get Form’ button to obtain the form and open it for editing.
  2. In Section 1, enter your employee details, including your family name, given name(s), location number, classification, job title, phone number, and email address. If your address during leave will differ from your current address, please attach those details.
  3. Proceed to Section 2 to fill out your leave details. Specify the period of leave by indicating the start and end dates, total calendar days, and whether you're applying for patterned long service leave. If applicable, indicate whether this application is in lieu of sick leave.
  4. In Section 2, indicate your payment options for receiving long service leave. You can choose between standard fortnightly payments or payment in advance, including an advanced payment split over two financial years.
  5. If you are a part-time employee, state your payment entitlements in Section 2, choosing from average rate, full-time rate, or nominated percentage of full-time rate.
  6. In Section 2, provide your authorization by signing and dating the application, confirming your understanding of the terms regarding undertaking any employment during the leave.
  7. Section 3 requires your supervising officer's details, including their name, signature, position, and date. Ensure this section is completed accurately.
  8. Section 4 is for delegate approval, where the delegate will print their name, sign, and specify their position.
  9. Finally, in Section 5, office staff will complete the details regarding entitlement availability, and checks performed, including their initials, signature, and date.
  10. Review all entered information carefully. You may save changes, download, print, or share the completed form as needed.

Complete your Vl158 form online to ensure a seamless application process for your long service leave.

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