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2017 Annual Leave Pick Form - Round 3

  1. 2017 Annual Leave Pick Form - Round 3

  2. This is the DFRS seniority number.

  3. Round 3

    For round three, the employee will be allowed to pick a maximum of three (3) 24-hour days of leave for shift workers, and four (4) 12-hour days of leave for day workers. These days need not be consecutive.

  4. Skip Pick in Round 3*

  5. Leave This Blank:

  6. This field is not part of the form submission.