Holiday Request Form
Please submit this request form to your Care Co-Ordinator, no later than 4 weeks before the start of the requested leave. Your Care Co-Ordinator will either approve or refuse the leave by email.

DO NOT BOOK FLIGHTS OR HOTELS BEFORE AUTHORISATION HAS BEEN RECEIVED

4 weeks notice is required for any break you may wish to take
Changeover time is 2pm. Please make sure you leave and return at this time
ENA reserves the right to refuse holiday requests

Email address
Full Name
Your answer
Payroll Number
Your answer
Clients Name
Your answer
Co-Ordinator Name
Your answer
Date you wish to leave
MM
/
DD
/
YYYY
Date you wish to return
MM
/
DD
/
YYYY
Are you happy to return to the same client?
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
Submit
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