Holiday Pay Form

Holiday Pay Request

I, wish to claim the following as holidays and understand that they will be deducted from my total entitlement.

The minimum amount of holiday that can be requested is half a day.

From:

To:

Number of Days Requested:

Amount Requested in £'s:

Date on which to be paid:

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Signed by GCUS Contracts
Signed On: November 12, 2025

Timestamp

Audit

November 29, 2018 11:52 am GMT

Holiday Pay Form Uploaded by GCUS Contracts - payroll@gcus.co.uk IP 62.255.251.162