Special Leave/Leave for Public Duties and Volunteering
Special leave includes Compassionate Leave, Leave for Emergency Domestic Situations,
Leave for Dependants, Leave for Medical Purposes, Bone Marrow/Kidney/Organ Donation,
Fertility Leave/IVF Religious/Cultural Observance as defined in the Special Leave Policy
www.kent.ac.uk/hr-staffinformation/policies/wellbeing/index.html
Name:
Department:
Date:
I would like to apply for ____ days exceptional leave
From:________________
To: _____________________ (inclusive)
Reason:
Please obtain signatures before sending to HR
Head of
Department’s
signature:
Approved
Rejected
Paid 
 _________________
 _________________
Unpaid 
Please ensure that the individual concerned is made
aware as to whether the leave will be paid or unpaid
before sending this form to HR.
Special Paid Leave
Unpaid Leave
Number of days on this
occasion
Number of days on this
occasion
Total number of days
during calendar year
Total number of days
during calendar year
Once completed please return to HR for processing
HR Manager’s
signature:
Approved
Rejected
Paid 
Document1 14/09/15
 _________________
 _________________
Unpaid 