SIGNED: _____________________ DATE: __________________ (Employee) SIGNED: _____________________ DATE: __________________ (Manager) APPLICATION FOR KIT/SPLIT days Please complete and return to payroll.ss@hscni.net. If you require assistance with the completion of this form please do not hesitate to contact a member of the Human Resources Department. Please note that KIT/SPLIT days cannot be applied for on HRPTS. Name _______________________________________________ Organisation & Directorate _____________________________ Job Title/Grade __________________ Staff No ______________ Date(s) Length of time SIGNED: _____________________ DATE: __________________ (Manager)
SIGNED: _____________________ DATE: __________________ (Employee) SIGNED: _____________________ DATE: __________________ (Manager) APPLICATION FOR KIT/SPLIT days Please complete and return to payroll.ss@hscni.net. If you require assistance with the completion of this form please do not hesitate to contact a member of the Human Resources Department. Please note that KIT/SPLIT days cannot be applied for on HRPTS. Name _______________________________________________ Organisation & Directorate _____________________________ Job Title/Grade __________________ Staff No ______________ Date(s) Length of time SIGNED: _____________________ DATE: __________________ (Manager)
Family_Pack_Final_Version.docx