Cashing out annual leave form
Employee Name: __________________________________
Employee Number: __________________________________
Restaurant Name: __________________________________
Restaurant Number: __________________________________
Area / Department: __________________________________
(Above Store only)
Employees requesting to cash out Annual Leave must be employed under an Enterprise Agreement or a Modern
Award that provides for the cashing out of Annual Leave. Employees that are Agreement and Award free can make
an agreement with Collins Foods to cash out their annual leave if the agreement is in writing.
Minimum Requirements
Employees must meet the requirements outlined in the Collins Foods Leave Procedure, including the following:
• the employee’s remaining annual leave balance is not less than four weeks (after the cashing out has
been processed) or a pro rata amount for part-time employees;
• the employee has taken a minimum of two consecutive weeks’ annual leave in the preceding 12 months
(or a pro rata amount for part-time employees);
• the employee has not had any other amount of annual leave cashed out in the preceding 12 months; and
• the minimum amount of leave that may be cashed out is one week, and the maximum is two weeks.
I, ___________________ , request to cash out _________________ hours of Annual Leave.
(insert Employee Name) (insert number of hours)
I acknowledge that:
• I have checked my current leave balance and meet the minimum requirements set out above;
• my Annual Leave entitlement balance will reduce by the hours requested above, following the cashing
out of Annual Leave;
• the payment will be calculated at my base rate of pay x the number of annual leave hours I have
requested to be cashed out;
• the payment will be made in the next available pay cycle following the approval and submission of this
form to payroll; and
• the payment will be subject to deduction of income tax.
___________________________ Date Signed: ________________
___________________________ Date Signed: ________________
___________________________ Date Approved: ________________
Parent/Guardian Signature:
(If employee is under 18 years of age)
___________________________ Date Processed: ________________
Authorised forms are to be emailed to Payroll@collinsfoods.com by 12pm Friday, to be processed in the following week’s pay run.
Brand
☐ KFC
☐ Taco Bell
☐ Above Store (Area Coach and
Restaurant Support Centre)
Employee Signature:
Manger Signature:
Payroll Processed By:
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